Provider Demographics
NPI:1588342489
Name:ORANGE COUNTY AUDIOLOGY & HEARING AIDS
Entity type:Organization
Organization Name:ORANGE COUNTY AUDIOLOGY & HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYTNI
Authorized Official - Middle Name:
Authorized Official - Last Name:BOREL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:409-792-5035
Mailing Address - Street 1:1025 TEXAS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BRIDGE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77611-3675
Mailing Address - Country:US
Mailing Address - Phone:409-792-5035
Mailing Address - Fax:
Practice Address - Street 1:1025 TEXAS AVE STE B
Practice Address - Street 2:
Practice Address - City:BRIDGE CITY
Practice Address - State:TX
Practice Address - Zip Code:77611-3675
Practice Address - Country:US
Practice Address - Phone:409-792-5035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty