Provider Demographics
NPI:1497997662
Name:HOUSTON HEARING HEALTHCARE CENTER,PLLC
Entity Type:Organization
Organization Name:HOUSTON HEARING HEALTHCARE CENTER,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:713-278-1552
Mailing Address - Street 1:2640 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 136
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7630
Mailing Address - Country:US
Mailing Address - Phone:713-278-1552
Mailing Address - Fax:
Practice Address - Street 1:2640 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 136
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7630
Practice Address - Country:US
Practice Address - Phone:713-278-1552
Practice Address - Fax:713-278-7843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51593231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty