Individual
MRS. LOURDEZ D ZAMORA-FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.CCC-A
Contact information
Practice address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
(432) 580-7428
Mailing address
1414 FRENCH AVE, ODESSA, TX 79761-2211
(432) 238-4816
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129174
SUPERIOR PROVIDER NUMBER
TX
01
—
50713
TX LICENSE
TX
01
—
80234A
BCBS PROVIDER NUMBER
TX
Enumeration date
03/13/2007
Last updated
07/08/2007
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