Provider Demographics
NPI:1871785097
Name:NORTHEAST HOUSTON HEARING SERVICES, INC
Entity type:Organization
Organization Name:NORTHEAST HOUSTON HEARING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STRAFUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:281-361-4327
Mailing Address - Street 1:18525 W LAKE HOUSTON PKWY
Mailing Address - Street 2:SUITE #102A
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3458
Mailing Address - Country:US
Mailing Address - Phone:281-361-4327
Mailing Address - Fax:
Practice Address - Street 1:18525 W LAKE HOUSTON PKWY
Practice Address - Street 2:SUITE #102A
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3458
Practice Address - Country:US
Practice Address - Phone:281-361-4327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-12
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50975231H00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty