Organization
TANQUE VERDE AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L HUCH AUD (PRESIDENT / DR OF AUDIOLOGIST)
(520) 825-4770
Entity
Organization
Contact information
Practice address
7255 E TANQUE VERDE RD, #131, TUCSON, AZ 85715-3463
(520) 751-3901
(520) 751-4102
Mailing address
7255 E TANQUE VERDE RD, #131, TUCSON, AZ 85715-3463
(520) 751-3901
(520) 751-4102
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1790
AZ
231H00000X
Audiologist
DA1960
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6108
HEALTH NET OF ARIZONA
—
01
—
AZ0902980
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/19/2005
Last updated
12/07/2007
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