Provider Demographics
NPI:1912277633
Name:AUDIOLOGY & HEARING AIDS OF THE WOODLANDS, PC
Entity type:Organization
Organization Name:AUDIOLOGY & HEARING AIDS OF THE WOODLANDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:BILES
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/A
Authorized Official - Phone:281-367-6327
Mailing Address - Street 1:9001 FOREST XING
Mailing Address - Street 2:SUITE E
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1180
Mailing Address - Country:US
Mailing Address - Phone:281-367-6327
Mailing Address - Fax:281-367-6137
Practice Address - Street 1:9001 FOREST XING
Practice Address - Street 2:SUITE E
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1180
Practice Address - Country:US
Practice Address - Phone:281-367-6327
Practice Address - Fax:281-367-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50317231HA2400X, 231HA2500X, 237600000X, 237700000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112791203Medicaid
TX515965Medicare PIN