Provider Demographics
NPI:1932537438
Name:MONTGOMERY AUDIOLOGY & HEARING AIDS
Entity Type:Organization
Organization Name:MONTGOMERY AUDIOLOGY & HEARING AIDS
Other - Org Name:AUDIOLOGY & HEARING AIDS OF THE WOODLANDS/ KINGWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:BILES
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC/A
Authorized Official - Phone:936-447-3277
Mailing Address - Street 1:2665 ROYAL FOREST DR
Mailing Address - Street 2:SUITE B140
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339
Mailing Address - Country:US
Mailing Address - Phone:281-359-1327
Mailing Address - Fax:281-359-1328
Practice Address - Street 1:2665 ROYAL FOREST DR
Practice Address - Street 2:SUITE B140
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-359-1327
Practice Address - Fax:281-359-1328
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTGOMERY AUDIOLOGY & HEARING AIDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-17
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty