Healthcare Provider Details

I. General information

NPI: 1871545624
Provider Name (Legal Business Name): CUERO AUDIOLOGY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15901 CENTRAL COMMERCE DR SUITE 201
PFLUGERVILLE TX
78660-2041
US

IV. Provider business mailing address

15901 CENTRAL COMMERCE DR SUITE 201
PFLUGERVILLE TX
78660-2041
US

V. Phone/Fax

Practice location:
  • Phone: 512-989-3088
  • Fax: 512-989-9150
Mailing address:
  • Phone: 512-989-3088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51266
License Number StateTX

VIII. Authorized Official

Name: DR. SONIA GUADALUPE CUERO
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 512-989-3088