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NPI Code Detail

MEDICARE: GLORIA B NEMEROFF AUD

MEDICARE:   GLORIA B NEMEROFF  AUD
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
1237600000XAudiologist-Hearing Aid Fitter50351TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14671083001OTHERTXCIGNA HMO
27643487OTHERTXAETNA
3528342OTHERTXBCBS
410021443OTHERTXAMERIGROUP
5530948OTHERTXHMO BLUE

General Provider Information

NPI Number : 1073523619
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA B NEMEROFF AUD
Provider Business Mailing Address
First Line : 5420 DASHWOOD DR
Second Line : SUITE 310
City : HOUSTON
State : TX
Zip : 77081-5357
Country : US
Telephone Number : 713-512-1267
Fax Number : 713-512-1199
Provider Business Practice Location Address
First Line : 5420 DASHWOOD DR
Second Line : SUITE 310
City : HOUSTON
State : TX
Zip : 77081-5357
Country : US
Telephone Number : 713-512-1267
Fax Number : 713-512-1199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 02/28/2011

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Directions to “ GLORIA B NEMEROFF AUD” Practice Location

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