MEDICARE: MRS. ANGELA A CAREY MA, 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	231H00000X	Audiologist
2	237600000X	Audiologist-Hearing Aid Fitter	51730	TX
3	231H00000X	Audiologist	51730	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962675173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELA A CAREY MA, CCC-A

Provider Business Mailing Address
First Line	:	9024 BALCONES CLUB DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2906
Country	:	US
Telephone Number	:	512-382-5218
Fax Number	:

Provider Business Practice Location Address
First Line	:	9024 BALCONES CLUB DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-2906
Country	:	US
Telephone Number	:	512-382-5218
Fax Number	:

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

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	08/19/2010

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Directions to “ MRS. ANGELA A CAREY MA, CCC-A” Practice Location

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