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NPI Code Detail

MEDICARE: JERROLD R ROWRAY

MEDICARE: JERROLD R ROWRAY
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
1237700000XHearing Instrument Specialist50326TX

General Provider Information

NPI Number : 1346496908
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERROLD R ROWRAY
Provider Business Mailing Address
First Line : 7410 BROADWAY ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-3222
Country : US
Telephone Number : 210-829-7438
Fax Number : 210-829-7439
Provider Business Practice Location Address
First Line : 26222 RANCH RD 12
Second Line :
City : DRIPPING SPRINGS
State : TX
Zip : 78620-4903
Country : US
Telephone Number : 512-858-0300
Fax Number : 512-585-2714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2008
Last Update Date : 08/14/2008

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Directions to “ JERROLD R ROWRAY ” Practice Location

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