Organization Active NPI

Sally E Mulhbach Aud, PLLC

  • Audiologist
  • Lufkin, TX
National Provider Identifier
1285875278
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51152 Issued in TX
Legal business name
SALLY E MULHBACH AUD, PLLC
Practice address
609 E Lufkin Ave
Lufkin, TX 75901-4043
Phone
(936) 632-2252
Fax
(936) 632-0712
NPI assigned
Mar 20, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Sally Estill Muhlbach, AUDNPI 1902890734
Title
Audiologist
Phone
(936) 632-2252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51152 TX Primary

Addresses

Primary practice location

609 E Lufkin Ave
Lufkin, TX 75901-4043

Mailing address

609 E Lufkin Ave
Lufkin, TX 75901-4043
Phone (936) 632-2252

Other identifiers 1

IdentifierTypeStateIssuer
022388501MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1285875278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E LUFKIN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014043",
            "telephone_number": "936-632-2252",
            "fax_number": "936-632-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E LUFKIN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014043",
            "telephone_number": "936-632-2252",
            "fax_number": "936-632-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY E MULHBACH AUD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "MUHLBACH",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "ESTILL",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "936-632-2252",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022388501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.