Provider Demographics
NPI:1023093820
Name:VOICE INSTITUTE OF WEST TEXAS @ABILENE CHRISTIAN UNIVERSITY
Entity type:Organization
Organization Name:VOICE INSTITUTE OF WEST TEXAS @ABILENE CHRISTIAN UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:K
Authorized Official - Last Name:ASHBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:325-674-2074
Mailing Address - Street 1:1600 CAMPUS CT
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79699-0001
Mailing Address - Country:US
Mailing Address - Phone:325-674-2074
Mailing Address - Fax:325-673-1339
Practice Address - Street 1:1317 N 8TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4145
Practice Address - Country:US
Practice Address - Phone:325-676-0557
Practice Address - Fax:325-672-9869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
OOD70NMedicare ID - Type Unspecified