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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN CARSON M. S.

MEDICARE:  MRS. ELIZABETH ANN CARSON  M. S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter50989TX
2231H00000XAudiologist50989TX

General Provider Information

NPI Number : 1013109875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN CARSON M. S.
Provider Business Mailing Address
First Line : 611 W STATE HIGHWAY 6 STE 113
Second Line :
City : WACO
State : TX
Zip : 76710-7545
Country : US
Telephone Number : 254-878-4040
Fax Number : 469-673-2866
Provider Business Practice Location Address
First Line : 611 W STATE HIGHWAY 6 STE 113
Second Line :
City : WACO
State : TX
Zip : 76710-7545
Country : US
Telephone Number : 254-878-4040
Fax Number : 469-673-2866
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 05/01/2024

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Directions to “ MRS. ELIZABETH ANN CARSON M. S.” Practice Location

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