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Individual

DENNIS LYNN HATHERILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50150
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094602203
TX
05
094602204
TX
05
094602205
TX
Enumeration date
10/05/2006
Last updated
06/08/2021
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