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Individual

KIRSTA LEIGH HERDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D., CCC-A

Contact information

Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51614
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
352098302
TX
05
352098303
TX
05
352098304
TX
Enumeration date
03/13/2007
Last updated
06/23/2021
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