Provider Demographics
NPI:1659823698
Name:A&A AUDIOLOGY P.C.
Entity Type:Organization
Organization Name:A&A AUDIOLOGY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:806-771-4505
Mailing Address - Street 1:7335 82ND ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4972
Mailing Address - Country:US
Mailing Address - Phone:806-771-4505
Mailing Address - Fax:806-771-4507
Practice Address - Street 1:7335 82ND ST STE 3
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4972
Practice Address - Country:US
Practice Address - Phone:806-771-4505
Practice Address - Fax:806-771-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51440174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1164619391OtherMEDICARE