# AUDIOLOGY ASSOCIATES OF EAST TEXAS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497959134
- **Authorized official:** KAREN LEA TWOMEY (VICE PRESIDENT)
- **Authorized official phone:** (903) 592-8374

## Contact information

- **Practice address:** 1018 PRUITT PL, TYLER, TX 75703-1132
- **Practice address phone:** (903) 592-8374
- **Practice address fax:** (903) 592-5293
- **Mailing address:** 1018 PRUITT PL, TYLER, TX 75703-1132
- **Mailing address phone:** (903) 592-8374
- **Mailing address fax:** (903) 592-5293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 50199 | TX | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 10/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0003DL | BCBS TX GROUP ID | TX |