Individual
PHILLIP L ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
1911 22ND ST, HUNTSVILLE, TX 77340-4954
(936) 291-2414
(936) 438-8088
Mailing address
PO BOX 6073, HUNTSVILLE, TX 77342-6073
(936) 291-2414
(936) 438-8088
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50104
TX
237600000X
Audiologist-Hearing Aid Fitter
90002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223778-01
—
TX
Enumeration date
11/10/2005
Last updated
07/28/2008
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