Provider Demographics
NPI:1477700896
Name:SAN ANTONIO AUDIOLOGY, INC
Entity Type:Organization
Organization Name:SAN ANTONIO AUDIOLOGY, INC
Other - Org Name:HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-540-5408
Mailing Address - Street 1:1906 TREBLE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5285
Mailing Address - Country:US
Mailing Address - Phone:281-540-5408
Mailing Address - Fax:281-540-5409
Practice Address - Street 1:1906 TREBLE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5285
Practice Address - Country:US
Practice Address - Phone:281-540-5408
Practice Address - Fax:281-540-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty