Provider Demographics
NPI:1205263753
Name:COMPREHENSIVE HEARING CENTER OF TEXAS PA
Entity type:Organization
Organization Name:COMPREHENSIVE HEARING CENTER OF TEXAS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-478-2273
Mailing Address - Street 1:3607 MANOR RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2707
Mailing Address - Country:US
Mailing Address - Phone:512-478-2273
Mailing Address - Fax:512-472-0921
Practice Address - Street 1:3607 MANOR RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-5816
Practice Address - Country:US
Practice Address - Phone:512-478-2273
Practice Address - Fax:512-472-0921
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPREHENSIVE ENT CENTER OF TX PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-30
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80576231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty