MEDICARE: CHRISTOPHER PAUL TREADAWAY

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	237700000X	Hearing Instrument Specialist	80615	TX
2	237700000X	Hearing Instrument Specialist	11182	TX

General Provider Information

NPI Number	:	1396185484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER PAUL TREADAWAY

Provider Business Mailing Address
First Line	:	2317 W UNIVERSITY DR
Second Line	:	#107
City	:	DENTON
State	:	TX
Zip	:	76201-1600
Country	:	US
Telephone Number	:	940-387-9200
Fax Number	:	940-387-9206

Provider Business Practice Location Address
First Line	:	2317 W UNIVERSITY DR
Second Line	:	#107
City	:	DENTON
State	:	TX
Zip	:	76201-1600
Country	:	US
Telephone Number	:	940-387-9200
Fax Number	:	940-387-9206

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

Provider Enumeration Date	:	07/03/2013
Last Update Date	:	11/08/2013

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Directions to “ CHRISTOPHER PAUL TREADAWAY ” Practice Location

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