Angela Rose Anderson, M.S., CCC-A

Individual provider Active NPI Audiologist · Houston, TX

NPI 1194973016 · NPPES record last updated Jun 7, 2021

Key facts

NPI
1194973016
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
51660 (TX)
Practice address
2727 W Holcombe Blvd
Houston, TX 77025-1669
Phone
(713) 442-0000
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
51660TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Ear Nose & Throat Clinic LLP Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51660 TX Yes

Addresses

Primary practice location

2727 W Holcombe Blvd
Houston, TX 77025-1669

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other identifiers

IdentifierTypeStateIssuer
286097502MedicaidTX
286097503MedicaidTX
286097504MedicaidTX

Other names

  • Ms. Angela Rose Guarin Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address aanderson21349@direct.kelsey-seybold.com Direct
FHIR URL https://ssrx.ksnet.com/FhirProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Other providers in Houston, TX

All providers in Houston, TX · Audiologist in Texas

Sources for this page

Verify at the official NPI Registry.