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NPI Code Detail

MEDICARE: DR. ANGELA LYNN JOHN AU.D.

MEDICARE: DR. ANGELA LYNN JOHN 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
1237600000XAudiologist-Hearing Aid Fitter80162TX
2231H00000XAudiologist80162TX

General Provider Information

NPI Number : 1780822759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELA LYNN JOHN AU.D.
Provider Business Mailing Address
First Line : 4130 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-2607
Country : US
Telephone Number : 469-252-8092
Fax Number :
Provider Business Practice Location Address
First Line : 4130 ABRAMS RD
Second Line :
City : DALLAS
State : TX
Zip : 75214-2607
Country : US
Telephone Number : 469-252-8092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2009
Last Update Date : 01/30/2026

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