Provider Demographics
NPI:1649407586
Name:SIGNATURE HEARING & BALANCE, PLLC
Entity Type:Organization
Organization Name:SIGNATURE HEARING & BALANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-224-3720
Mailing Address - Street 1:1860 FM 359 RD # 324
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1296
Mailing Address - Country:US
Mailing Address - Phone:979-224-3720
Mailing Address - Fax:979-383-2292
Practice Address - Street 1:1856 FM 359 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1296
Practice Address - Country:US
Practice Address - Phone:979-250-1335
Practice Address - Fax:979-383-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51343174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty