Provider Demographics
NPI:1992880041
Name:AUDICLES INC
Entity type:Organization
Organization Name:AUDICLES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOARD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:210-820-0525
Mailing Address - Street 1:8620 N NEW BRAUNFELS AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6361
Mailing Address - Country:US
Mailing Address - Phone:210-820-0525
Mailing Address - Fax:
Practice Address - Street 1:8620 N NEW BRAUNFELS AVE STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6361
Practice Address - Country:US
Practice Address - Phone:210-820-0525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0162367OtherHEAIRNG AIDS/DEPT. LABOR
WA0162367OtherHEAIRNG AIDS/DEPT. LABOR