Provider Demographics
NPI:1962535443
Name:CAPROCK AUDIOLOGY, PLLC
Entity type:Organization
Organization Name:CAPROCK AUDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BURDETT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:806-687-4327
Mailing Address - Street 1:7202 SLIDE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2553
Mailing Address - Country:US
Mailing Address - Phone:806-687-4327
Mailing Address - Fax:806-687-8965
Practice Address - Street 1:7202 SLIDE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2553
Practice Address - Country:US
Practice Address - Phone:806-687-4327
Practice Address - Fax:806-687-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51442231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612556Medicare ID - Type Unspecified