Provider Demographics
NPI:1427284785
Name:MPJ AUDIOLOGY CONSULTANTS, LLC
Entity type:Organization
Organization Name:MPJ AUDIOLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:713-491-4387
Mailing Address - Street 1:2450 LOUISIANA ST
Mailing Address - Street 2:STE 400 524
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-2380
Mailing Address - Country:US
Mailing Address - Phone:713-491-4387
Mailing Address - Fax:713-658-0827
Practice Address - Street 1:1315 ST JOSEPH PKWY
Practice Address - Street 2:STE 1604
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8233
Practice Address - Country:US
Practice Address - Phone:713-491-4387
Practice Address - Fax:713-658-0827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51060237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty