Healthcare Provider Details

I. General information

NPI: 1295018620
Provider Name (Legal Business Name): SPEECH & HEARING ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2011
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5438 LINDEN ROSE LN
SUGAR LAND TX
77479-7110
US

IV. Provider business mailing address

5438 LINDEN ROSE LN
SUGAR LAND TX
77479-7110
US

V. Phone/Fax

Practice location:
  • Phone: 832-758-6272
  • Fax:
Mailing address:
  • Phone: 832-758-6272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MITHILESH KUMAR
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 832-758-6272