SPACE CITY AUDIOLOGY PLLC


Address: 17625 El Camino Real Ste 155, Houston, TX 77058
Phone: 2818096008

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
Ambulatory Health Care Facilities

Office Location

Street Address 17625 EL CAMINO REAL STE 155
City HOUSTON
State TX
Zip Code 77058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10

Providers in the same zip code

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 Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City HOUSTON
Zip Code 77058

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Dataset Information

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.

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