Individual
AMY S BANNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC/A
Contact information
Practice address
3705 MEDICAL PKWY, #380, AUSTIN, TX 78705-1019
(512) 380-4058
Mailing address
3705 MEDICAL PKWY, #380, AUSTIN, TX 78705-1019
(512) 380-4058
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51250
TX
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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