SPACE CITY AUDIOLOGY PLLC (NPI# 1154817344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154817344 |
Entity Type | Organization |
Organization Name | SPACE CITY AUDIOLOGY PLLC |
Practice Address |
17625 El Camino Real Ste 155 Houston TX 77058 |
Mailing Address |
Po Box 2254 Friendswood TX 77549-2254 |
Practice Telephone | 2818096008 |
Mailing Telephone | 2818096008 |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-09-05 |
Authorized Official Name | DR. JASMIN ELISE AUZENNE (AUDIOLOGIST) |
Authorized Official Telephone | 2818096008 |
Authorized Official Credential | AUD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities |
Street Address |
17625 EL CAMINO REAL STE 155 |
City | HOUSTON |
State | TX |
Zip Code | 77058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
1982095022 | Echomed Distributors, LLC | Durable Medical Equipment & Medical Supplies | 16840 Buccaneer Ln Ste 242, Houston, TX 77058 | 2015-02-11 |
Find all providers in zip 77058 |
Taxonomy Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194325787 | Heather Cecile Simien | Clinic/Center | 2700 Bellefontaine St Apt A22, Houston, TX 77025-1673 | 2020-11-01 |
1265045579 | Snj Aba LLC | Clinic/Center | 13333 Nw Fwy Ste 130, Houston, TX 77040-6009 | 2020-08-26 |
1447819776 | Kimberly Ada Onuegbu Onyia | Clinic/Center | 6406 Dryad Dr, Houston, TX 77035-4020 | 2019-06-11 |
1245897966 | Precision Hearing L.l.c | Clinic/Center | 2222 Greenhouse Rd Ste 300, Houston, TX 77084-7288 | 2019-05-29 |
1376100347 | Shelby L Reyes | Clinic/Center | 9125 Highway 6 N Apt 2028, Houston, TX 77095-2356 | 2019-05-23 |
1891256830 | Shaquitta Rena Washington | Clinic/Center | 2401 Westridge St Apt 2214, Houston, TX 77054-1530 | 2019-03-30 |
1902374796 | Selena Lafuente | Clinic/Center | 8820 Westheimer Rd Apt 1306, Houston, TX 77063-3645 | 2018-11-09 |
1417457029 | Ava West | Clinic/Center | 2828 Hayes Rd Apt 2425, Houston, TX 77082-6671 | 2018-02-20 |
1609134774 | Bay Area Speech Language Learning Associates | Clinic/Center | 16703 Bentfield Way, Houston, TX 77058-2233 | 2012-04-26 |
1811260748 | Maryuri Enid Lopez Santana | Clinic/Center | 12055 Sabo Rd, 432, Houston, TX 77089-6282 | 2012-02-23 |
Find all providers in HOUSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.