Provider Demographics
NPI:1194960310
Name:WOROB, PHYLLIS SACKS (MS,CCC/A, F-AAA)
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:SACKS
Last Name:WOROB
Suffix:
Gender:F
Credentials:MS,CCC/A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E 32ND ST
Mailing Address - Street 2:THE COMPREHENSIVE HEARING CENTER OF TX,, SUITE 205
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2707
Mailing Address - Country:US
Mailing Address - Phone:512-478-2273
Mailing Address - Fax:512-472-0921
Practice Address - Street 1:1015 E 32ND ST
Practice Address - Street 2:THE COMPREHENSIVE ENT CENTER OF TX,, SUITE 205
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2707
Practice Address - Country:US
Practice Address - Phone:512-478-2273
Practice Address - Fax:512-472-0921
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50253231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist