Healthcare Provider Details
I. General information
NPI: 1336113174
Provider Name (Legal Business Name): KAREN L MILLS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/16/2006
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
815 WORTH STREET
HEMPHILL TX
75948
US
IV. Provider business mailing address
250 SABINE ST
HEMPHILL TX
75948
US
V. Phone/Fax
- Phone: 409-787-3388
- Fax: 409-787-3238
- Phone: 409-787-3388
- Fax: 409-787-3238
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | 50685 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 50685 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: