Individual
ROBERT ALLAN FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
713 N 4TH ST STE 1, LONGVIEW, TX 75601-5412
(903) 601-3958
(903) 306-0494
Mailing address
713 N 4TH ST STE 1, LONGVIEW, TX 75601-5412
(903) 601-3958
(903) 601-0494
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
81143
TX
237700000X
Hearing Instrument Specialist
Primary
81143
TX
Other
Enumeration date
04/23/2025
Last updated
03/03/2026
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