Individual
REBECCA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
2501 E 5TH ST, TYLER, TX 75701-3544
(903) 593-7977
(903) 593-7899
Mailing address
2501 E 5TH ST, TYLER, TX 75701-3544
(903) 593-7977
(903) 593-7899
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
50630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085ME
BCBS
TX
01
—
80259A
BCBS
TX
01
—
80374A
BCBS
TX
Enumeration date
08/08/2007
Last updated
11/16/2010
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