Provider Demographics
NPI:1700372992
Name:AUZENNE, JASMIN ELISE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JASMIN
Middle Name:ELISE
Last Name:AUZENNE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17625 EL CAMINO REAL
Mailing Address - Street 2:STE 155
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3085
Mailing Address - Country:US
Mailing Address - Phone:281-809-6008
Mailing Address - Fax:
Practice Address - Street 1:17625 EL CAMINO REAL STE 155
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-809-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80939231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist