Provider Demographics
NPI:1811251564
Name:SPIRO, JESSICA (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SPIRO
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ALDINE BENDER ROAD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032
Mailing Address - Country:US
Mailing Address - Phone:713-523-4722
Mailing Address - Fax:713-523-8399
Practice Address - Street 1:2001 ALDINE BENDER ROAD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032
Practice Address - Country:US
Practice Address - Phone:713-523-4722
Practice Address - Fax:713-523-8399
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80377237600000X, 237700000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX304479401Medicaid