Basic Information
| Provider Information | |||||||||
| NPI: | 1194960310 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WOROB | ||||||||
| FirstName: | PHYLLIS | ||||||||
| MiddleName: | SACKS | ||||||||
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| Credential: | M.S.,CCC/A, F-AAA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | THE COMPREHENSIVE HEARING CENTER OF TX,, SUITE 205 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124782273 | ||||||||
| FaxNumber: | 5124720921 | ||||||||
| Practice Location | |||||||||
| Address1: | 1015 E 32ND ST | ||||||||
| Address2: | THE COMPREHENSIVE ENT CENTER OF TX,, SUITE 205 | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787052707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124782273 | ||||||||
| FaxNumber: | 5124720921 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2008 | ||||||||
| LastUpdateDate: | 09/24/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 50253 | TX | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.