Provider Demographics
NPI:1891021721
Name:BEHLER, JASON W
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:W
Last Name:BEHLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 BELLAIRE BLVD
Mailing Address - Street 2:C/O HEARING AID EXPRESS
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3901
Mailing Address - Country:US
Mailing Address - Phone:713-666-1704
Mailing Address - Fax:
Practice Address - Street 1:5201 BELLAIRE BLVD
Practice Address - Street 2:C/O HEARING AID EXPRESS
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3901
Practice Address - Country:US
Practice Address - Phone:713-666-1704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80354237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist