MEDICARE: KAYLA DIANNE ANDREATOS HIS

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	237700000X	Hearing Instrument Specialist		TX

General Provider Information

NPI Number	:	1538998638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA DIANNE ANDREATOS HIS

Provider Business Mailing Address
First Line	:	4766 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1637
Country	:	US
Telephone Number	:	713-669-0117
Fax Number	:	713-669-9275

Provider Business Practice Location Address
First Line	:	4766 BEECHNUT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1637
Country	:	US
Telephone Number	:	713-669-0117
Fax Number	:	713-669-9275

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

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	07/29/2024

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Directions to “ KAYLA DIANNE ANDREATOS HIS” Practice Location

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