Provider Demographics
NPI:1104250828
Name:UTALK2ME, PC
Entity type:Organization
Organization Name:UTALK2ME, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROUSSARD
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC/SLP
Authorized Official - Phone:713-660-8232
Mailing Address - Street 1:5959 WEST LOOP S
Mailing Address - Street 2:STE 206
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2421
Mailing Address - Country:US
Mailing Address - Phone:713-660-8232
Mailing Address - Fax:713-660-0473
Practice Address - Street 1:5959 WEST LOOP S
Practice Address - Street 2:STE 206
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2421
Practice Address - Country:US
Practice Address - Phone:713-660-8232
Practice Address - Fax:713-660-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech