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NPI Code Detail

MEDICARE: MRS. NEAH WASHINGTON ACA, BC-HIS

MEDICARE: MRS. NEAH WASHINGTON ACA, BC-HIS
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
1237700000XHearing Instrument Specialist80323TX

General Provider Information

NPI Number : 1437476827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NEAH WASHINGTON ACA, BC-HIS
Provider Business Mailing Address
First Line : 1202 E SONTERRA BLVD STE 302
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4090
Country : US
Telephone Number : 210-334-0232
Fax Number : 210-334-0245
Provider Business Practice Location Address
First Line : 250 UNIVERSITY BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78665-1044
Country : US
Telephone Number : 512-358-1397
Fax Number : 512-382-1482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2010
Last Update Date : 09/02/2020

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