Healthcare Provider Details

I. General information

NPI: 1588089296
Provider Name (Legal Business Name): HHCA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2014
Last Update Date: 03/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12319 N MOPAC EXPY BLDG C SUITE 310
AUSTIN TX
78758-2414
US

IV. Provider business mailing address

1101 BRICKELL AVE SUITE N-401
MIAMI FL
33131-3105
US

V. Phone/Fax

Practice location:
  • Phone: 512-973-8009
  • Fax:
Mailing address:
  • Phone: 786-563-4010
  • Fax: 305-640-8627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELISA ROMANO
Title or Position: CFO
Credential:
Phone: 877-268-1045