Individual
DR. LAURA RENEE TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC/A
Contact information
Practice address
6809 W NW HWY, DALLAS, TX 75225-4202
(214) 691-5466
(214) 691-7250
Mailing address
400 S HENDERSON ST, FORT WORTH, TX 76104-1017
(817) 335-2583
(817) 335-2597
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
60525
TX
237600000X
Audiologist-Hearing Aid Fitter
60525
TX
Other
Enumeration date
04/09/2008
Last updated
04/25/2012
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