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1215035977 NPI number — BETH C BERNTHAL AUD

NPI Number: 1215035977
Health Care Provider/Practitioner: BETH C BERNTHAL AUD

Information about “1215035977” NPI (BETH C BERNTHAL AUD) exists in 1215035977 in HTML format HTML  |  1215035977 in plain Text format TXT  |  1215035977 in PDF (Portable Document Format) PDF  |  1215035977 in an XML format XML  formats.

NPI Number : 1215035977 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215035977",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERNTHAL",
    "FirstName": "BETH",
    "MiddleName": "C",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AUD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10740 N GESSNER RD STE 310",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOUSTON",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77064-1240",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-897-0416",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6717 ELDORADO PKWY STE 140",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCKINNEY",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75070-5735",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-731-7654",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2006",
    "LastUpdateDate": "06/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "237600000X",
          "TaxonomyName": "Audiologist-Hearing Aid Fitter",
          "LicenseNumber": "90602",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "231H00000X",
          "TaxonomyName": "Audiologist",
          "LicenseNumber": "51002",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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