MEDICARE: MRS. CHERYLL ANNE GOLD 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
1	237600000X	Audiologist-Hearing Aid Fitter	51546	TX
2	231H00000X	Audiologist	51546	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912042441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYLL ANNE GOLD AU.D.

Provider Business Mailing Address
First Line	:	4456 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-2602
Country	:	US
Telephone Number	:	361-414-9066
Fax Number	:

Provider Business Practice Location Address
First Line	:	4456 S STAPLES ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-2602
Country	:	US
Telephone Number	:	361-414-9066
Fax Number	:

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	01/21/2025

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