Individual
BRIDGET NICOLE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1411 N VALLEY MILLS DR STE F, WACO, TX 76710-4453
(254) 732-1304
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81298
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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