MEDICARE: BRYTNI NICOLE BOREL 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	237600000X	Audiologist-Hearing Aid Fitter	80387	TX
2	231H00000X	Audiologist	80387	TX

General Provider Information

NPI Number	:	1144588393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYTNI NICOLE BOREL AUD.

Provider Business Mailing Address
First Line	:	1025 TEXAS AVE STE B
Second Line	:
City	:	BRIDGE CITY
State	:	TX
Zip	:	77611-3675
Country	:	US
Telephone Number	:	409-792-5035
Fax Number	:	409-683-9037

Provider Business Practice Location Address
First Line	:	1025 TEXAS AVE STE B
Second Line	:
City	:	BRIDGE CITY
State	:	TX
Zip	:	77611-3675
Country	:	US
Telephone Number	:	409-792-5035
Fax Number	:	409-683-9037

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

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	03/30/2026

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