Provider Demographics
NPI:1134712813
Name:BAE, HYUNA (AUD)
Entity type:Individual
Prefix:DR
First Name:HYUNA
Middle Name:
Last Name:BAE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 PINNACLE PKWY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4285
Mailing Address - Country:US
Mailing Address - Phone:210-801-5308
Mailing Address - Fax:
Practice Address - Street 1:2001 WINDY TER STE F
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4290
Practice Address - Country:US
Practice Address - Phone:512-430-5215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-14
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81240231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist