Provider Demographics
NPI:1558489104
Name:AUDISTS, INC
Entity Type:Organization
Organization Name:AUDISTS, INC
Other - Org Name:INPUT HEARING SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:GEHM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, F-AAA
Authorized Official - Phone:972-247-1377
Mailing Address - Street 1:4801 SPRING VALLEY RD
Mailing Address - Street 2:#40
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3956
Mailing Address - Country:US
Mailing Address - Phone:972-247-1377
Mailing Address - Fax:972-484-8851
Practice Address - Street 1:4801 SPRING VALLEY RD
Practice Address - Street 2:#40
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-3956
Practice Address - Country:US
Practice Address - Phone:972-247-1377
Practice Address - Fax:972-484-8851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50339237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531552OtherBCBS PROVIDER #