Individual
KENNETH HAESLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4111 FAIRMONT PKWY STE 103A, PASADENA, TX 77504-3326
(713) 472-0000
Mailing address
4111 FAIRMONT PKWY STE 103A, PASADENA, TX 77504-3326
(713) 472-0000
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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