| Organization Name: | TRINITY HEARING AND BALANCE CENTERS OF TEXAS, LLC |
| NPI Number: | 1205004553 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY DOBBS MCCONNELL (DOCTOR OF AUDIOLOGY) |
| Mailing Address: | 7980 Anchor Dr Ste 300-b Port Arthur |
| State: | TX US |
| Postal Code: | 776428266 |
| Phone Number: | 4097274327 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2008 |
| NPI Last Update Date: | 02/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | 51113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Hearing and Speech |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |