Provider Demographics
NPI:1427458678
Name:HEARING CENTER OF SUGAR LAND LLC
Entity type:Organization
Organization Name:HEARING CENTER OF SUGAR LAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-816-2958
Mailing Address - Street 1:11201 NE 9TH ST
Mailing Address - Street 2:300
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-5964
Mailing Address - Country:US
Mailing Address - Phone:360-816-2958
Mailing Address - Fax:
Practice Address - Street 1:1400 CREEK WAY DR
Practice Address - Street 2:233
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4072
Practice Address - Country:US
Practice Address - Phone:214-363-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUDIGY VENTURE GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty