Provider Demographics
NPI:1245053024
Name:HOOTER AUDIOLOGY LLC
Entity type:Organization
Organization Name:HOOTER AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOTER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:903-388-2117
Mailing Address - Street 1:6600 SANGER AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7817
Mailing Address - Country:US
Mailing Address - Phone:903-388-2117
Mailing Address - Fax:
Practice Address - Street 1:6600 SANGER AVE STE 11
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7817
Practice Address - Country:US
Practice Address - Phone:903-388-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty