Provider Demographics
NPI:1194234765
Name:BEGLEY, GEORGE HOUSTON II (HIS)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:HOUSTON
Last Name:BEGLEY
Suffix:II
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E KALISTE SALOOM RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8509
Mailing Address - Country:US
Mailing Address - Phone:337-706-8550
Mailing Address - Fax:337-706-8559
Practice Address - Street 1:110 E KALISTE SALOOM RD STE 102
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8509
Practice Address - Country:US
Practice Address - Phone:337-706-8550
Practice Address - Fax:337-706-8559
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1178237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist