ENT Audiology Consulting

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

50134 Issued in TX

Legal business name

ENT AUDIOLOGY CONSULTING

Practice address

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098

Phone

(210) 479-1874

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Morrelli

Title

Corporate Admistrator

Phone

(210) 764-0552

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Audiology Doing business as

Locations

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1457722472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-479-1874",
            "fax_number": "210-479-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-479-1874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Millard Farmer Ind Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302633168",
            "country_code": "US",
            "telephone_number": "770-502-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENT AUDIOLOGY CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MORRELLI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CORPORATE ADMISTRATOR",
        "authorized_official_telephone_number": "210-764-0552"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "50134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hearing and Speech Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.