Provider Demographics
NPI:1609494855
Name:ACRO AUDIOLOGY HEARING CARE CENTER
Entity Type:Organization
Organization Name:ACRO AUDIOLOGY HEARING CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GOLLIHER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:432-290-0551
Mailing Address - Street 1:142 EL MONTE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1246
Mailing Address - Country:US
Mailing Address - Phone:432-290-0551
Mailing Address - Fax:
Practice Address - Street 1:540 OAK CENTRE DR STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3937
Practice Address - Country:US
Practice Address - Phone:432-244-4311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80787OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION