Provider Demographics
NPI:1891816997
Name:BRASSINE AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:BRASSINE AUDIOLOGY, PLLC
Other - Org Name:HEARING SERVICES OF MCKINNEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRASSINE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:972-838-1300
Mailing Address - Street 1:4201 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1764
Mailing Address - Country:US
Mailing Address - Phone:972-838-1300
Mailing Address - Fax:972-838-1302
Practice Address - Street 1:4201 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 270
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1764
Practice Address - Country:US
Practice Address - Phone:972-838-1300
Practice Address - Fax:972-838-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51688237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty