Individual
ANGELA WENDEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1740 W 27TH ST, SUITE 234, HOUSTON, TX 77008-1440
(713) 802-9779
(713) 802-2289
Mailing address
1740 W 27TH ST, SUITE 234, HOUSTON, TX 77008-1440
(713) 802-9779
(713) 802-2289
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51083
TX
237600000X
Audiologist-Hearing Aid Fitter
51083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00575U
MEDICARE GROUP NUMBER
—
01
—
1184707788
GROUP NPI
—
01
—
51083
AUDIOLOGY LICENSE NUMBER
—
Enumeration date
04/09/2008
Last updated
09/17/2009
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