Individual
MR. BARRY QUENTIN KIENHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
19221 IH 45 S., #140, CONROE, TX 77385
(281) 363-2847
(281) 298-2782
Mailing address
PO BOX 8036, THE WOODLANDS, TX 77387-8036
(281) 363-2847
(281) 298-2782
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530804
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/01/2007
Last updated
07/08/2007
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