Provider Demographics
NPI:1508217217
Name:HOUGH EAR HEARING AND SPEECH CENTER INC.
Entity Type:Organization
Organization Name:HOUGH EAR HEARING AND SPEECH CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-917-1270
Mailing Address - Street 1:3434 NW 56TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4488
Mailing Address - Country:US
Mailing Address - Phone:405-917-1270
Mailing Address - Fax:
Practice Address - Street 1:3434 NW 56TH ST
Practice Address - Street 2:STE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4488
Practice Address - Country:US
Practice Address - Phone:405-917-1270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech