Provider Demographics
NPI:1679816482
Name:GREENPARK HEARING SERVICES, INC
Entity Type:Organization
Organization Name:GREENPARK HEARING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:LAW
Authorized Official - Last Name:NEWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:713-524-1981
Mailing Address - Street 1:2211 NORFOLK ST,
Mailing Address - Street 2:STE. 503
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4056
Mailing Address - Country:US
Mailing Address - Phone:713-524-1981
Mailing Address - Fax:
Practice Address - Street 1:2211 NORFOLK ST,
Practice Address - Street 2:STE. 503
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4056
Practice Address - Country:US
Practice Address - Phone:713-524-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50167231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty