Individual
MICHAEL PETER GEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
5928 W PARKER RD, 1000, PLANO, TX 75093-6433
(972) 608-0416
(972) 608-0430
Mailing address
5960 W PARKER RD, 278-196, PLANO, TX 75093-7767
(972) 608-0416
(972) 608-0430
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144706202
—
TX
01
—
528498
BLUE CROSS BLUE SHILED
TX
01
—
7570709
AETNA
TX
Enumeration date
08/07/2006
Last updated
05/11/2012
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