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NPI Code Detail

MEDICARE: ALICIA TARAVELLA

MEDICARE:   ALICIA  TARAVELLA
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 Specialist80630TX

General Provider Information

NPI Number : 1881012573
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA TARAVELLA
Provider Business Mailing Address
First Line : 833 FROSTWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-4131
Country : US
Telephone Number : 713-468-2330
Fax Number : 832-358-9301
Provider Business Practice Location Address
First Line : 833 FROSTWOOD DR
Second Line :
City : HOUSTON
State : TX
Zip : 77024-4131
Country : US
Telephone Number : 713-468-2330
Fax Number : 832-358-9301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 03/31/2014

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Directions to “ ALICIA TARAVELLA ” Practice Location

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