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NPI Code Detail

MEDICARE: STELLA DOMINIQUE HERARD AUD

MEDICARE:   STELLA DOMINIQUE HERARD  AUD
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
1231H00000XAudiologist81185TX

General Provider Information

NPI Number : 1831713700
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA DOMINIQUE HERARD AUD
Provider Business Mailing Address
First Line : 1270 NE 130TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-4329
Country : US
Telephone Number : 305-244-0382
Fax Number :
Provider Business Practice Location Address
First Line : 3502 S PADRE ISLAND DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-2909
Country : US
Telephone Number : 866-284-8788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2020
Last Update Date : 06/05/2020

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Directions to “ STELLA DOMINIQUE HERARD AUD” Practice Location

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