Individual
LISA CAVELL DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCHIS
Contact information
Practice address
1802 ACTON HWY, GRANBURY, TX 76049-5900
(817) 579-1065
Mailing address
1802 ACTON HWY, GRANBURY, TX 76049-5900
(817) 579-1065
(817) 579-1065
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228133
HEARING AIDS
TX
Enumeration date
11/19/2019
Last updated
11/19/2019
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