Healthcare Provider Details

I. General information

NPI: 1861947590
Provider Name (Legal Business Name): NATALIE ROOKER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2016
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12221 N MOPAC EXPY
AUSTIN TX
78758-2401
US

IV. Provider business mailing address

12221 N MOPAC EXPY
AUSTIN TX
78758-2401
US

V. Phone/Fax

Practice location:
  • Phone: 512-901-4808
  • Fax: 512-901-3934
Mailing address:
  • Phone: 512-901-4808
  • Fax: 512-901-3934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80801
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: