Individual
SALLY E MUHLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A, FAAA
Contact information
Practice address
609 E LUFKIN AVE, LUFKIN, TX 75901-4043
(936) 632-2252
(936) 632-0712
Mailing address
609 E LUFKIN AVE, LUFKIN, TX 75901-4043
(936) 632-2252
(936) 632-0712
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022388501
MEDICAID-HEARING AID
TX
05
—
022388501
—
TX
01
—
022388503
MEDICAID-HEARING EVALUATION
TX
01
—
0A4522
MEDICARE-GROUP
TX
Enumeration date
09/08/2005
Last updated
07/27/2010
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