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NPI Code Detail

MEDICARE: MS. RUTH ELECTRA TERRY B.C.-H.I.S.

MEDICARE: MS. RUTH ELECTRA TERRY B.C.-H.I.S.
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
1237700000XHearing Instrument Specialist50347TX

General Provider Information

NPI Number : 1073637120
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RUTH ELECTRA TERRY B.C.-H.I.S.
Provider Business Mailing Address
First Line : 1221 BOWIE ST
Second Line :
City : COLUMBUS
State : TX
Zip : 78934-2343
Country : US
Telephone Number : 979-732-5791
Fax Number : 979-732-2020
Provider Business Practice Location Address
First Line : 1221 BOWIE ST
Second Line :
City : COLUMBUS
State : TX
Zip : 78934-2343
Country : US
Telephone Number : 979-732-5791
Fax Number : 979-732-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/08/2007

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