Provider Demographics
NPI:1285390930
Name:WACO HEARING CENTER PLLC
Entity type:Organization
Organization Name:WACO HEARING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:254-878-4040
Mailing Address - Street 1:611 W STATE HIGHWAY 6 STE 113
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7545
Mailing Address - Country:US
Mailing Address - Phone:254-878-4040
Mailing Address - Fax:469-673-2866
Practice Address - Street 1:611 W STATE HIGHWAY 6 STE 113
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7545
Practice Address - Country:US
Practice Address - Phone:254-878-4040
Practice Address - Fax:469-673-2866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty