Provider Demographics
NPI:1851154066
Name:ADVANCED HEARING AND BALANCE OF SOUTH TEXAS PLLC
Entity Type:Organization
Organization Name:ADVANCED HEARING AND BALANCE OF SOUTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVICHANDRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOCKALINGAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:737-888-0988
Mailing Address - Street 1:316 W SOUTHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4979
Mailing Address - Country:US
Mailing Address - Phone:737-888-0988
Mailing Address - Fax:
Practice Address - Street 1:2403 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3475
Practice Address - Country:US
Practice Address - Phone:737-888-0988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty