Provider Demographics
NPI:1871545624
Name:CUERO AUDIOLOGY, P.A.
Entity type:Organization
Organization Name:CUERO AUDIOLOGY, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:GUADALUPE
Authorized Official - Last Name:CUERO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:512-989-3088
Mailing Address - Street 1:15901 CENTRAL COMMERCE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2041
Mailing Address - Country:US
Mailing Address - Phone:512-989-3088
Mailing Address - Fax:
Practice Address - Street 1:15901 CENTRAL COMMERCE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2041
Practice Address - Country:US
Practice Address - Phone:512-989-3088
Practice Address - Fax:512-989-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51266231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX185784901Medicaid
TX185784901Medicaid