MEDICARE: ORLAND PURCELL 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
1	231H00000X	Audiologist	50480	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134269780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLAND PURCELL AUD

Provider Business Mailing Address
First Line	:	2101 N MIDLAND DR STE 4
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-5593
Country	:	US
Telephone Number	:	432-689-4327
Fax Number	:	432-689-4329

Provider Business Practice Location Address
First Line	:	2101 N MIDLAND DR STE 4
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-5593
Country	:	US
Telephone Number	:	432-689-4327
Fax Number	:	432-689-4329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/08/2007

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Directions to “ ORLAND PURCELL AUD” Practice Location

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