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NPI Code Detail

MEDICARE: DR. GLORIA L BUCKLEY AU.D., CCC-A

MEDICARE: DR. GLORIA L BUCKLEY AU.D., 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
1231H00000XAudiologist50332TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1204082382OTHERTXTAX ID #

General Provider Information

NPI Number : 1528184983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLORIA L BUCKLEY AU.D., CCC-A
Provider Business Mailing Address
First Line : 4130 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-2607
Country : US
Telephone Number : 214-827-1900
Fax Number : 214-821-8106
Provider Business Practice Location Address
First Line : 4130 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-2607
Country : US
Telephone Number : 214-827-1900
Fax Number : 214-821-8106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 03/19/2020

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