Provider Demographics
NPI:1972774420
Name:THE CENTER FOR AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:THE CENTER FOR AUDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:713-255-0035
Mailing Address - Street 1:4544 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 380
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3161
Mailing Address - Country:US
Mailing Address - Phone:713-255-0035
Mailing Address - Fax:713-255-0039
Practice Address - Street 1:4544 POST OAK PLACE DR
Practice Address - Street 2:SUITE 380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3161
Practice Address - Country:US
Practice Address - Phone:713-255-0035
Practice Address - Fax:713-255-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51267261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
00Z301Medicare UPIN