Provider Demographics
NPI:1952588840
Name:CAUDLE, INC.
Entity Type:Organization
Organization Name:CAUDLE, INC.
Other - Org Name:DENTON HEARING HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAUDLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:940-387-0550
Mailing Address - Street 1:2540 LILLIAN MILLER PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-7214
Mailing Address - Country:US
Mailing Address - Phone:940-387-0550
Mailing Address - Fax:940-387-0663
Practice Address - Street 1:2540 LILLIAN MILLER PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-7214
Practice Address - Country:US
Practice Address - Phone:940-387-0550
Practice Address - Fax:940-387-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50424231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX086951301Medicaid
TX199829601Medicaid
TXDP0032OtherRAILROAD MEDICARE
TX00Z705Medicare PIN
TX509457Medicare PIN
TXR70330Medicare UPIN