Provider Demographics
NPI:1528953312
Name:EAR BRAIN INTEGRATION
Entity type:Organization
Organization Name:EAR BRAIN INTEGRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCELO
Authorized Official - Middle Name:ASSIS
Authorized Official - Last Name:MESSIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-690-6792
Mailing Address - Street 1:3822 SPARKMAN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3151
Mailing Address - Country:US
Mailing Address - Phone:407-421-3439
Mailing Address - Fax:
Practice Address - Street 1:23410 GRAND RESERVE DR STE 1103
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4984
Practice Address - Country:US
Practice Address - Phone:407-421-3439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty