Elly E. Pourasef, AUD, CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80074 Issued in TX

Practice address

908 Town and Country Blvd.
Suite 120
Houston, TX 77024-2208

Phone

(713) 984-7562

Fax

(866) 961-3161

NPI assigned

Mar 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Texas Ear, Nose & Throat Specialists, PLLC

  • Otolaryngology Physician
  • McKinney, TX
  • NPI 1255314985

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1396916706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 SOUTH 1300 WEST",
            "address_2": "SUITE 100",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-938-1117",
            "fax_number": "801-938-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TOWN AND COUNTRY BLVD.",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242208",
            "telephone_number": "713-984-7562",
            "fax_number": "866-961-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURASEF",
        "first_name": "ELLY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80074",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Maliedje Pouokam
• Denise Angelle Pouokam
• Pour Collaborative
• Pour Into You Mental Health & Wellness PLLC
• Bita Pour-Jafari, MD
• Ali Pourhaghi, DDS
• Sara Pourhassan, MD
• Ladan Pourmasiha, D.O.
• Payam Pournazari, MD
• Najmeh Poursaeidimahani, LPC

• Audiologist in Houston, TX
• Providers in Houston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.