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NPI Code Detail

MEDICARE: MARISSA NICOLE LEDOUX AU.D.

MEDICARE: MARISSA NICOLE LEDOUX AU.D.
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
1231H00000XAudiologistTX

General Provider Information

NPI Number : 1295663888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA NICOLE LEDOUX AU.D.
Provider Business Mailing Address
First Line : 3100 SHENANDOAH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1042
Country : US
Telephone Number : 713-523-3633
Fax Number : 713-400-9196
Provider Business Practice Location Address
First Line : 3100 SHENANDOAH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77021-1042
Country : US
Telephone Number : 713-337-6732
Fax Number : 713-400-9196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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