Provider Demographics
NPI:1922656982
Name:LAREDO HEARING SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:LAREDO HEARING SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAZIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:A UD
Authorized Official - Phone:956-462-5848
Mailing Address - Street 1:10414 MEDICAL LOOP # E2
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6612
Mailing Address - Country:US
Mailing Address - Phone:956-462-5848
Mailing Address - Fax:956-462-5866
Practice Address - Street 1:10414 MEDICAL LOOP # E2
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6612
Practice Address - Country:US
Practice Address - Phone:956-462-5848
Practice Address - Fax:956-462-5866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX403054601Medicaid