Individual
TERRI H ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCCA
Contact information
Practice address
6609 BLANCO RD, STE 115, SAN ANTONIO, TX 78216-6131
(210) 342-2299
(210) 342-5499
Mailing address
6609 BLANCO RD, STE 115, SAN ANTONIO, TX 78216-6131
(210) 342-2299
(210) 342-5499
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
50522
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224073-02
—
TX
01
—
513861
BCBS
TX
01
—
8F7695
INDIVIDUAL PTAN - MEDICARE
TX
Enumeration date
04/13/2007
Last updated
07/21/2009
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