Organization
SCOTT & WHITE CLINIC
Active
Other names
TEMPLE PEDIATRIC AUDIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE CANTU (SYSTEM DIRECTOR, CBS)
(254) 215-9719
Entity
Organization
Contact information
Practice address
1901 SW H K DODGEN LOOP, BLDING 300, 5TH FLOOR, ROOM 5.401, TEMPLE, TX 76502-1814
(254) 724-5437
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3587636-01
—
TX
Enumeration date
10/14/2015
Last updated
08/24/2016
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