Healthcare Provider Details

I. General information

NPI: 1154103182
Provider Name (Legal Business Name): CHERIE OHRABKA AUD,CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N FOREST BLVD
HOUSTON TX
77090-5520
US

IV. Provider business mailing address

210 N FOREST BLVD
HOUSTON TX
77090-5520
US

V. Phone/Fax

Practice location:
  • Phone: 832-585-7520
  • Fax:
Mailing address:
  • Phone: 832-585-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: