Healthcare Provider Details

I. General information

NPI: 1972985281
Provider Name (Legal Business Name): AUDIOLOGY PARTNERS OF TEXAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2015
Last Update Date: 06/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 ROUTE 70 # 1007
LAKEWOOD NJ
08701-5946
US

IV. Provider business mailing address

9365 S MCKEMY ST STE 105
TEMPE AZ
85284-2956
US

V. Phone/Fax

Practice location:
  • Phone: 732-994-7550
  • Fax: 866-397-4795
Mailing address:
  • Phone: 480-813-8400
  • Fax: 866-397-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: RAJESH KAPUR
Title or Position: CFO
Credential:
Phone: 480-813-8400