Basic Information
| Provider Information | |||||||||
| NPI: | 1750843975 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DANSBY | ||||||||
| FirstName: | ELIZABETH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9430 BROADWAY ST STE 128 | ||||||||
| Address2: | |||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775848075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819977329 | ||||||||
| FaxNumber: | 2819977513 | ||||||||
| Practice Location | |||||||||
| Address1: | 9430 BROADWAY ST STE 128 | ||||||||
| Address2: | |||||||||
| City: | PEARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775848075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819977329 | ||||||||
| FaxNumber: | 2819977513 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2019 | ||||||||
| LastUpdateDate: | 04/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 80710 | TX | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.