NPIMap

Organization Active NPI

West Texas a & M University

Doing business as Speech & Hearing Clinic

  • Hearing and Speech Clinic/Center
  • Canyon, TX
National Provider Identifier
1194083311
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
WEST TEXAS A & M UNIVERSITY
Doing business as
Speech & Hearing Clinic
Practice address
2501 4TH Ave
Canyon, TX 79016-0001
Phone
(806) 651-5108
NPI assigned
Apr 25, 2012
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brenda F Cross, AUDNPI 1154499762
Title
Department Head
Phone
(806) 651-5108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

2501 4TH Ave
Canyon, TX 79016-0001

Mailing address

Wtamu Box 60757
Canyon, TX 79016-0001
Phone (806) 651-5108

Other names 1

  • SPEECH & HEARING CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000847 TX Part B Supplier - Clinic/Group Practice 5092771618 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Amarillo, TX; Canyon, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
West Texas Am University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 S Tyler St
Amarillo, TX 79101
Phone (806) 651-5101

2501 4th Ave
Canyon, TX 79016
Phone (806) 651-5101

60757 Wtamu Box
Canyon, TX 79016

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1194083311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WTAMU BOX 60757",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-5108",
            "fax_number": "806-651-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 4TH AVE",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS A & M UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DEPARTMENT HEAD",
        "authorized_official_telephone_number": "806-651-5108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEECH & HEARING CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.