Healthcare Provider Details

I. General information

NPI: 1427339670
Provider Name (Legal Business Name): SANDRA DAVIS FOLLY BC-HIS, ACA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 N. YARBROUGH STE U SOUTHWEST HEARING AID SOLUTIONS
EL PASO TX
79925-7902
US

IV. Provider business mailing address

1188 N. YARBROUGH STE. U
EL PASO TX
79925-7902
US

V. Phone/Fax

Practice location:
  • Phone: 915-504-1715
  • Fax:
Mailing address:
  • Phone: 915-504-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: