# ON-SITE AUDIOLOGY TX, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790919496
- **Authorized official:** TERAH WAGNER (OWNER)
- **Authorized official phone:** (317) 443-0043

## Contact information

- **Practice address:** 16095 PROSPERITY DR, SUITE 300, NOBLESVILLE, IN 46060-4319
- **Practice address phone:** (317) 219-3456
- **Practice address fax:** (888) 400-2221
- **Mailing address:** 16095 PROSPERITY DR, STE. 300, NOBLESVILLE, IN 46060-4319
- **Mailing address phone:** (371) 219-3456
- **Mailing address fax:** (888) 400-2221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 17001256A | IN | Yes |
| 237700000X | Hearing Instrument Specialist | 17001256A | IN | — |

## Other

- **Enumeration date:** 05/08/2009
- **Last updated:** 05/11/2009