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NPI Code Detail

MEDICARE: DR. APRIL ELAINE BURDETT AUD CCCA

MEDICARE: DR. APRIL ELAINE BURDETT AUD CCCA
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
1231H00000XAudiologist51442TX

General Provider Information

NPI Number : 1235132986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. APRIL ELAINE BURDETT AUD CCCA
Provider Business Mailing Address
First Line : PO BOX 840223
Second Line :
City : DALLAS
State : TX
Zip : 75284-0223
Country : US
Telephone Number : 214-691-5466
Fax Number :
Provider Business Practice Location Address
First Line : 6809 W NORTHWEST HWY
Second Line :
City : DALLAS
State : TX
Zip : 75225-4202
Country : US
Telephone Number : 214-691-5466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/05/2015

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