Provider Demographics
NPI:1710134317
Name:ORSAK, CAROL (MA)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:ORSAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2437
Mailing Address - Country:US
Mailing Address - Phone:281-920-5558
Mailing Address - Fax:281-920-5568
Practice Address - Street 1:12121 RICHMOND AVE STE 304
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2437
Practice Address - Country:US
Practice Address - Phone:281-920-5558
Practice Address - Fax:281-920-5568
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50860237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter