NPI Code Details Logo

NPI 1114768827

NPI 1114768827 : GOLDEN EARS AUDIOLOGY PLLC : LAKEWAY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114768827
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GOLDEN EARS AUDIOLOGY PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/05/2024
-----------------------------------------------------
    Last Update Date     |    11/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1008 RANCH ROAD 620 S STE 203 
-----------------------------------------------------
    City                 |    LAKEWAY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78734-5633
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-222-6880
-----------------------------------------------------
    Fax                  |    512-631-4188
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1008 RANCH ROAD 620 S STE 203 
-----------------------------------------------------
    City                 |    LAKEWAY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78734-5633
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-222-6880
-----------------------------------------------------
    Fax                  |    512-631-4188
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DR.
-----------------------------------------------------
    Name                 |     SONIA  PENAROZA 
-----------------------------------------------------
    Credential           |    AU.D.
-----------------------------------------------------
    Telephone            |    737-279-1194
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QH0700X
-----------------------------------------------------
    Taxonomy Name        |    Hearing and Speech Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    332S00000X
-----------------------------------------------------
    Taxonomy Name        |    Hearing Aid Equipment
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    231H00000X
-----------------------------------------------------
    Taxonomy Name        |    Audiologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.