MEDICARE: CHEN-YI SU

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	81750	TX

General Provider Information

NPI Number	:	1467349605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEN-YI SU

Provider Business Mailing Address
First Line	:	9618 HUEBNER RD STE 310
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1777
Country	:	US
Telephone Number	:	210-358-4583
Fax Number	:	210-358-0510

Provider Business Practice Location Address
First Line	:	11703 HUEBNER RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-1201
Country	:	US
Telephone Number	:	210-644-2300
Fax Number	:	210-702-6970

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

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	03/11/2026

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Directions to “ CHEN-YI SU ” Practice Location

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