Provider Demographics
NPI:1477640878
Name:T & G SNOOK, INC
Entity Type:Organization
Organization Name:T & G SNOOK, INC
Other - Org Name:ADVANCED HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:SNOOK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:281-491-0200
Mailing Address - Street 1:1223 LAKE POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3389
Mailing Address - Country:US
Mailing Address - Phone:281-491-0200
Mailing Address - Fax:281-491-0771
Practice Address - Street 1:1223 LAKE POINTE PKWY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-491-0200
Practice Address - Fax:281-491-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50571231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1776361-01Medicaid
TX531751OtherBCBS-DME
TX1776361-02Medicaid
TX0068MROtherBCBS
TX7060778OtherAETNA
TX0068MROtherBCBS