Individual
LEROY MEDRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(765) 299-1785
Mailing address
200 N MESA HILLS DR APT 1313, EL PASO, TX 79912-4856
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14235918-4101
UT
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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