Organization
ON-SITE AUDIOLOGY TX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERAH WAGNER (OWNER)
(317) 443-0043
Entity
Organization
Contact information
Practice address
16095 PROSPERITY DR, SUITE 300, NOBLESVILLE, IN 46060-4319
(317) 219-3456
(888) 400-2221
Mailing address
16095 PROSPERITY DR, STE. 300, NOBLESVILLE, IN 46060-4319
(371) 219-3456
(888) 400-2221
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
17001256A
IN
237700000X
Hearing Instrument Specialist
17001256A
IN
Other
Enumeration date
05/08/2009
Last updated
05/11/2009
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