MEDICARE: HEARING AIDS OF HOUSTON

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	332S00000X	Hearing Aid Equipment	50526	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	530955	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457474918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING AIDS OF HOUSTON

Provider Business Mailing Address
First Line	:	509 W TIDWELL RD STE 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-4355
Country	:	US
Telephone Number	:	713-692-3277
Fax Number	:	713-697-9410

Provider Business Practice Location Address
First Line	:	509 W TIDWELL RD STE 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-4355
Country	:	US
Telephone Number	:	713-692-3277
Fax Number	:	713-697-9410

Authorized Official
Title or Position	:	CLINICAL AUDIOLOGIST
Name	:	SANDI COE
Credential	:	M.A., CCC-A
Telephone Number	:	713-692-3277

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/03/2009

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Directions to “HEARING AIDS OF HOUSTON ” Practice Location

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