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Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2481 E 11TH ST, ODESSA, TX 79761-4232
(432) 335-9514
(432) 335-0906
Mailing address
2481 E 11TH ST, ODESSA, TX 79761-4232
(432) 335-9514
(432) 335-0906

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
80511
TX

Other

Enumeration date
11/06/2013
Last updated
01/24/2020
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