MEDICARE: SIGNATURE HEARING & BALANCE, PLLC

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	261QH0700X	Hearing and Speech Clinic/Center	51343	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447663364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE HEARING & BALANCE, PLLC

Provider Business Mailing Address
First Line	:	1860 FM 359 RD
Second Line	:	#324
City	:	RICHMOND
State	:	TX
Zip	:	77406-1296
Country	:	US
Telephone Number	:	979-250-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 FM 359 RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1296
Country	:	US
Telephone Number	:	979-250-1335
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DR. TARA M JOHNSTON
Credential	:	AU.D
Telephone Number	:	979-250-1335

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	08/17/2023

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Directions to “SIGNATURE HEARING & BALANCE, PLLC ” Practice Location

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