Healthcare Provider Details

I. General information

NPI: 1255708541
Provider Name (Legal Business Name): PAIGE JUAREZ AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 KIBO RDG STE 201
DRIPPING SPRINGS TX
78620-2933
US

IV. Provider business mailing address

354 EGRET LN
AUSTIN TX
78737-4898
US

V. Phone/Fax

Practice location:
  • Phone: 512-422-4967
  • Fax:
Mailing address:
  • Phone: 512-422-4967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80657
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number80657
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: