Audiology Associates of East Texas, Inc

Primary specialty

AudiologistTaxonomy code 231H00000X

License

50199 Issued in TX

Legal business name

AUDIOLOGY ASSOCIATES OF EAST TEXAS, INC

Practice address

1018 Pruitt PL
Tyler, TX 75703-1132

Phone

(903) 592-8374

Fax

(903) 592-5293

NPI assigned

Jun 14, 2007

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Lea Twomey

Title

Vice President

Phone

(903) 592-8374

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1497959134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PRUITT PL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031132",
            "telephone_number": "903-592-8374",
            "fax_number": "903-592-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PRUITT PL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031132",
            "telephone_number": "903-592-8374",
            "fax_number": "903-592-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY ASSOCIATES OF EAST TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "TWOMEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-592-8374"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX GROUP ID",
            "identifier": "0003DL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.