Individual
MS. REBECCA FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
7150 N. PRES. GEORGE BUSH HWY, STE. 202, GARLAND, TX 75044
(972) 414-0408
Mailing address
7150 N. PRES. GEORGE BUSH HWY, STE. 202, GARLAND, TX 75044
(972) 414-0408
(972) 495-9084
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470006471
—
IL
05
—
205689701
—
TX
Enumeration date
08/05/2006
Last updated
01/11/2010
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