Individual
LINDA GLEASON LUDUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-A
Contact information
Practice address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0579
(210) 824-8514
Mailing address
603 E HILDEBRAND AVE, SAN ANTONIO, TX 78212-2693
(210) 824-0579
(210) 824-8514
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51079
TX
237600000X
Audiologist-Hearing Aid Fitter
51079
TX
237700000X
Hearing Instrument Specialist
51079
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089105303
—
TX
01
—
51079
STATE LICENSE
TX
Enumeration date
10/13/2005
Last updated
09/30/2014
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