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NPI Code Detail

MEDICARE: KATHRYN LUTTMAN HAGAN AUD

MEDICARE: KATHRYN LUTTMAN HAGAN 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
1231H00000XAudiologist80851TX

General Provider Information

NPI Number : 1154859353
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN LUTTMAN HAGAN AUD
Provider Business Mailing Address
First Line : 16545 SOUTHWEST FWY STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2919
Country : US
Telephone Number : 281-649-7216
Fax Number :
Provider Business Practice Location Address
First Line : 16545 SOUTHWEST FWY STE 100
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2919
Country : US
Telephone Number : 281-649-7200
Fax Number : 281-491-6704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 01/16/2026

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Directions to “ KATHRYN LUTTMAN HAGAN AUD” Practice Location

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