MEDICARE: DR. BETH C BERNTHAL 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	90602	TX
2	231H00000X	Audiologist	51002	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00273212	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	80366A	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	US10698	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1215035977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH C BERNTHAL AUD

Provider Business Mailing Address
First Line	:	10740 N GESSNER RD STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1240
Country	:	US
Telephone Number	:	281-897-0416
Fax Number	:

Provider Business Practice Location Address
First Line	:	6717 ELDORADO PKWY STE 140
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5735
Country	:	US
Telephone Number	:	972-731-7654
Fax Number	:

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	06/30/2025

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Directions to “ DR. BETH C BERNTHAL AUD” Practice Location

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