Individual
MR. COLIN BLAKE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
2295 NW LOOP, STEPHENVILLE, TX 76401-1701
(254) 968-4174
(254) 968-6001
Mailing address
400 S HENDERSON ST, FORT WORTH, TX 76104-1017
(817) 335-2583
(817) 335-2597
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51491
TX
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
05/23/2008
Last updated
04/25/2012
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