Provider Demographics
NPI:1215487012
Name:NORTH AUSTIN HEARING CENTER, PLLC
Entity type:Organization
Organization Name:NORTH AUSTIN HEARING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROXANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:956-437-2528
Mailing Address - Street 1:305 N HEATHERWILDE BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3757
Mailing Address - Country:US
Mailing Address - Phone:956-437-2528
Mailing Address - Fax:
Practice Address - Street 1:305 N HEATHERWILDE BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3757
Practice Address - Country:US
Practice Address - Phone:956-437-2528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80604231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX550924Medicare PIN
TX663338177Medicare Oscar/Certification