Individual
MR. ANTHONY NICHOLAS RAICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCCA
Contact information
Practice address
3301 W DAVIS STREET, SUITE E, CONROE, TX 77304-1872
(936) 788-2212
(936) 788-2231
Mailing address
3301 W DAVIS STREET, SUITE E, CONROE, TX 77304-1872
(936) 788-2212
(936) 788-2231
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50232
TX
237600000X
Audiologist-Hearing Aid Fitter
90230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50232
STATE BOARD EXAMINERS FOR
TX
01
—
90230
STATE BOARD EXAMINERS TO
TX
Enumeration date
10/24/2006
Last updated
06/29/2012
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