Basic Information
Provider Information
NPI: 1073999140
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLEN
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 GREENWAY PLZ STE 300
Address2:  
City: HOUSTON
State: TX
PostalCode: 770460207
CountryCode: US
TelephoneNumber: 8328283660
FaxNumber:  
Practice Location
Address1: 11777 FM 1960 RD W
Address2:  
City: HOUSTON
State: TX
PostalCode: 770653513
CountryCode: US
TelephoneNumber: 2814694688
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2015
LastUpdateDate: 07/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X80789TXY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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