Provider Demographics
NPI:1689827818
Name:ANN E. BARSCH, AUDIOLOGIST, P.C.
Entity Type:Organization
Organization Name:ANN E. BARSCH, AUDIOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:830-997-9825
Mailing Address - Street 1:510 S ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-4437
Mailing Address - Country:US
Mailing Address - Phone:830-997-9825
Mailing Address - Fax:830-990-0209
Practice Address - Street 1:510 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:TX
Practice Address - Zip Code:78624-4437
Practice Address - Country:US
Practice Address - Phone:830-997-9825
Practice Address - Fax:830-990-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50320237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1134278567OtherNPI TYPE I INDIVIDUAL NUMBER
TX509264OtherBCBS PROVIDER ACCOUNT NUMBER