MEDICARE: MRS. ANN ELIZABETH OOMMEN AU.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	80175	TX

General Provider Information

NPI Number	:	1104143163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN ELIZABETH OOMMEN AU.D

Provider Business Mailing Address
First Line	:	14140 SOUTHWEST FWY STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3842
Country	:	US
Telephone Number	:	281-649-7000
Fax Number	:	281-240-0030

Provider Business Practice Location Address
First Line	:	11454 SPACE CENTER BLVD STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3644
Country	:	US
Telephone Number	:	281-998-0530
Fax Number	:	281-998-2284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	03/26/2024

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