Organization
AUDIOLOGY ASSOCIATES OF EAST TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LEA TWOMEY (VICE PRESIDENT)
(903) 592-8374
Entity
Organization
Contact information
Practice address
1018 PRUITT PL, TYLER, TX 75703-1132
(903) 592-8374
(903) 592-5293
Mailing address
1018 PRUITT PL, TYLER, TX 75703-1132
(903) 592-8374
(903) 592-5293
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50199
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003DL
BCBS TX GROUP ID
TX
Enumeration date
06/14/2007
Last updated
10/22/2008
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