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Individual

MR. JAMES G UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC HIS

Contact information

Practice address
3800 SPENCER HWY STE P, PASADENA, TX 77504-1250
(713) 477-4835
(713) 477-4276
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
50162
TX
237700000X
Hearing Instrument Specialist
Primary
50162
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022029501
TX
01
531042
BLUE CROSS BLUE SHIELD
01
6655037
CIGNA
Enumeration date
12/12/2006
Last updated
06/18/2019
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