MEDICARE: MRS. SUSAN P. COWGILL M.A., CCC-A

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	50331	TX

General Provider Information

NPI Number	:	1467455105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN P. COWGILL M.A., CCC-A

Provider Business Mailing Address
First Line	:	PO BOX 264
Second Line	:
City	:	HEMPHILL
State	:	TX
Zip	:	75948-0264
Country	:	US
Telephone Number	:	409-787-3388
Fax Number	:	409-787-3238

Provider Business Practice Location Address
First Line	:	HIGHWAY 87 NORTH
Second Line	:	HEMPHILL HEARING CENTER
City	:	HEMPHILL
State	:	TX
Zip	:	75948-0264
Country	:	US
Telephone Number	:	409-787-3388
Fax Number	:	409-787-3238

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

Provider Enumeration Date	:	05/26/2005
Last Update Date	:	07/08/2007

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