Individual
MANUEL ALEJANDRO VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4845 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 242-8423
Mailing address
239 SHASTA DR APT 1202, EL PASO, TX 79912-2442
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81663
TX
237600000X
Audiologist-Hearing Aid Fitter
81663
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81663
TEXAS AUDIOLOGIST LICENSE
TX
Enumeration date
07/14/2023
Last updated
12/12/2024
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