Individual
DR. TYSHA MOANA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
5001 SPRING VALLEY RD, SUITE 400E, DALLAS, TX 75244-3946
(972) 383-1330
Mailing address
4001 WAVERTREE RD, FRISCO, TX 75034-4251
(404) 484-6305
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80517
TX
231H00000X
Audiologist
AUD003621
GA
Other
Enumeration date
12/18/2007
Last updated
01/16/2017
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