MEDICARE: PAIGE JUAREZ AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	80657	TX
2	237700000X	Hearing Instrument Specialist	80657	TX

General Provider Information

NPI Number	:	1255708541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE JUAREZ AUD

Provider Business Mailing Address
First Line	:	354 EGRET LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4898
Country	:	US
Telephone Number	:	512-422-4967
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 KIBO RDG STE 201
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2933
Country	:	US
Telephone Number	:	512-422-4967
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	06/03/2026

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