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Individual

MS. BEATRICE RUTH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
3607 MANOR RD, SUITE 101, AUSTIN, TX 78723
(512) 478-2273
(512) 472-0921
Mailing address
3607 MANOR RD, SUITE 100, AUSTIN, TX 78723
(512) 478-2273
(512) 472-0921

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80711
TX
231H00000X
Audiologist
A.01674
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80711
TEXAS STATE LICENSE
TX
Enumeration date
03/18/2009
Last updated
01/17/2019
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