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NPI Code Detail

MEDICARE: SUSAN MYNATT AUDIOLOGIST

MEDICARE: SUSAN MYNATT AUDIOLOGIST
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
1231H00000XAudiologist80540TX
2237600000XAudiologist-Hearing Aid Fitter80540TX

General Provider Information

NPI Number : 1912242389
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MYNATT AUDIOLOGIST
Provider Business Mailing Address
First Line : 10740 N GESSNER DR
Second Line : STE 310
City : HOUSTON
State : TX
Zip : 77064-1240
Country : US
Telephone Number : 281-897-0416
Fax Number : 281-890-8908
Provider Business Practice Location Address
First Line : 10740 N GESSNER DR
Second Line : STE 310
City : HOUSTON
State : TX
Zip : 77064-1240
Country : US
Telephone Number : 281-897-0416
Fax Number : 281-890-8908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2012
Last Update Date : 07/01/2014

Similar Medicare Providers

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1336126598 — DR. DANIEL JENNINGS FRANKLIN M.D.
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1508894650 — MRS. ASHLEY Z SCHILLING M.A., CCC-A
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1457558546 — DR. CHRISTOPHER NEAL PRICHARD M.D.
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1508151481 — DR. MICHAEL WILLIAM SHAW MOORE III M.D.
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Directions to “ SUSAN MYNATT AUDIOLOGIST” Practice Location

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