Healthcare Provider Details

I. General information

NPI: 1003855297
Provider Name (Legal Business Name): CARLY MICHELLE CAUGHLAN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLY MICHELLE PURVIS M.S.

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8731 KATY FWY STE 200
HOUSTON TX
77024-1735
US

IV. Provider business mailing address

10740 N GESSNER RD STE 310
HOUSTON TX
77064-1240
US

V. Phone/Fax

Practice location:
  • Phone: 713-781-9660
  • Fax: 281-491-6704
Mailing address:
  • Phone: 281-897-0416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number81021
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: