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NPI Code Detail

MEDICARE: MS. SHIRLEY JO ALLISON AUD CCC-A

MEDICARE:  MS. SHIRLEY JO ALLISON  AUD CCC-A
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
1231H00000XAudiologist51352TX

General Provider Information

NPI Number : 1982778965
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHIRLEY JO ALLISON AUD CCC-A
Provider Business Mailing Address
First Line : 6826 PLUM CREEK DR
Second Line :
City : AMARILLO
State : TX
Zip : 79124-1601
Country : US
Telephone Number : 806-355-9999
Fax Number : 806-355-9989
Provider Business Practice Location Address
First Line : 6826 PLUM CREEK DR
Second Line :
City : AMARILLO
State : TX
Zip : 79124-1601
Country : US
Telephone Number : 806-355-9999
Fax Number : 806-355-9989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/03/2008

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Directions to “ MS. SHIRLEY JO ALLISON AUD CCC-A” Practice Location

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