Provider Demographics
NPI:1609257823
Name:COCHLEAR CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:COCHLEAR CLINICAL SERVICES, LLC
Other - Org Name:COCHLEAR HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-474-6766
Mailing Address - Street 1:5282 MEDICAL DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4983
Mailing Address - Country:US
Mailing Address - Phone:210-474-6766
Mailing Address - Fax:
Practice Address - Street 1:5282 MEDICAL DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4983
Practice Address - Country:US
Practice Address - Phone:303-264-2439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COCHLEAR AMERICAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-12
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80366231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty