MEDICARE: SUN MI GILLE AU.D.

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	80423	TX

General Provider Information

NPI Number	:	1629366257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUN MI GILLE AU.D.

Provider Business Mailing Address
First Line	:	4544 POST OAK PLACE DR STE 380
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3118
Country	:	US
Telephone Number	:	713-347-4510
Fax Number	:

Provider Business Practice Location Address
First Line	:	4544 POST OAK PLACE DR STE 380
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-3118
Country	:	US
Telephone Number	:	713-347-4510
Fax Number	:

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

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	06/04/2026

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Directions to “ SUN MI GILLE AU.D.” Practice Location

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