Provider Demographics
NPI:1982008652
Name:DIZZINESS AND BALANCE DIAGNSOTICS CENTERS OF AMERICA, LP
Entity Type:Organization
Organization Name:DIZZINESS AND BALANCE DIAGNSOTICS CENTERS OF AMERICA, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-665-3980
Mailing Address - Street 1:462 S MASON RD STE 400B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2451
Mailing Address - Country:US
Mailing Address - Phone:281-665-3980
Mailing Address - Fax:
Practice Address - Street 1:462 S MASON RD STE 400B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2451
Practice Address - Country:US
Practice Address - Phone:281-665-3980
Practice Address - Fax:281-693-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
TX80053332S00000X
TXPA01236363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No332S00000XSuppliersHearing Aid Equipment