Healthcare Provider Details

I. General information

NPI: 1952966566
Provider Name (Legal Business Name): THOMAS ROSS CALL AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 CREEKSIDE PARK RD STE 200
SPRING BRANCH TX
78070-6240
US

IV. Provider business mailing address

184 CREEKSIDE PARK RD STE 200
SPRING BRANCH TX
78070-6240
US

V. Phone/Fax

Practice location:
  • Phone: 830-438-7766
  • Fax:
Mailing address:
  • Phone: 830-438-7766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: