Healthcare Provider Details

I. General information

NPI: 1467630848
Provider Name (Legal Business Name): BAY AREA ENT SPECIALISTS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N TEXAS AVE SUITE 3100
WEBSTER TX
77598-4966
US

IV. Provider business mailing address

333 N TEXAS AVE STE 3100
WEBSTER TX
77598-4970
US

V. Phone/Fax

Practice location:
  • Phone: 281-338-7135
  • Fax: 281-525-4183
Mailing address:
  • Phone: 281-338-7135
  • Fax: 281-525-4183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. DEBORAH MILLER
Title or Position: PARTNER
Credential: MD
Phone: 281-338-7135