Provider Demographics
NPI:1194085563
Name:MARQUARDT AUDIOLOGY & HEARING AIDS PLLC
Entity type:Organization
Organization Name:MARQUARDT AUDIOLOGY & HEARING AIDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUD
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MARQUARDT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:936-273-4437
Mailing Address - Street 1:19073 I-45 S STE 145
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8744
Mailing Address - Country:US
Mailing Address - Phone:936-273-4437
Mailing Address - Fax:
Practice Address - Street 1:17450 ST LUKES WAY STE 150
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-2003
Practice Address - Country:US
Practice Address - Phone:936-273-4437
Practice Address - Fax:936-273-3279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-20
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty