Individual
TIM MYRON DUDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 NE LOOP 410 STE 900, SAN ANTONIO, TX 78216-5831
(210) 375-7780
Mailing address
45 NE LOOP 410 STE 900, SAN ANTONIO, TX 78216-5831
(210) 375-7780
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50574
—
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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