MEDICARE: KAREN L MILLS AUD

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
1	237600000X	Audiologist-Hearing Aid Fitter	50685	TX
2	231H00000X	Audiologist	50685	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336113174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN L MILLS AUD

Provider Business Mailing Address
First Line	:	250 SABINE ST
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948
Country	:	US
Telephone Number	:	409-787-3388
Fax Number	:	409-787-3238

Provider Business Practice Location Address
First Line	:	815 WORTH STREET
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948
Country	:	US
Telephone Number	:	409-787-3388
Fax Number	:	409-787-3238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	03/31/2022

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