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Individual

JOHN LOUIE MIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HEARING SPECIALIST

Contact information

Practice address
5100 OLD BULLARD RD, SUITE A, TYLER, TX 75703-3630
(903) 561-9992
(903) 561-9277
Mailing address
5100 OLD BULLARD RD, STE: A, TYLER, TX 75703-3630
(903) 561-9992
(903) 561-9277

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50216
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50216
HEARING DISPENSER LICENSE
TX
Enumeration date
06/21/2007
Last updated
08/07/2007
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