MEDICARE: MIKKI OSWALD

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	80329	TX

General Provider Information

NPI Number	:	1518109370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKKI OSWALD

Provider Business Mailing Address
First Line	:	214 A GULF FREEWAY S
Second Line	:	C/O MIRACLE EAR
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573
Country	:	US
Telephone Number	:	281-338-2394
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 A GULF FREEWAY S
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573
Country	:	US
Telephone Number	:	281-338-2394
Fax Number	:

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

Provider Enumeration Date	:	03/25/2009
Last Update Date	:	12/04/2025

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Directions to “ MIKKI OSWALD ” Practice Location

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