Provider Demographics
NPI:1932806916
Name:TIGER TACTICAL HEARING, LLC
Entity Type:Organization
Organization Name:TIGER TACTICAL HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-577-5027
Mailing Address - Street 1:13785 RESEARCH BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1826
Mailing Address - Country:US
Mailing Address - Phone:512-577-5027
Mailing Address - Fax:512-991-9709
Practice Address - Street 1:13785 RESEARCH BLVD STE 125
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1873
Practice Address - Country:US
Practice Address - Phone:512-577-5027
Practice Address - Fax:512-991-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty