MEDICARE: DR. AMIN S MUSANI 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	51141	TX
2	231H00000X	Audiologist	51141	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8T1772	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1831192434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIN S MUSANI AUD

Provider Business Mailing Address
First Line	:	206 SOUTH AUSTIN AVENUE
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020-3016
Country	:	US
Telephone Number	:	903-463-9900
Fax Number	:	903-463-9911

Provider Business Practice Location Address
First Line	:	206 SOUTH AUSTIN AVENUE
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020
Country	:	US
Telephone Number	:	903-463-9900
Fax Number	:	903-463-9911

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/03/2023

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Directions to “ DR. AMIN S MUSANI AUD” Practice Location

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