NPI | 1184732265 |
---|---|
Former Name | LOREN STEPHEN HART |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 51186) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 51186) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2024-05-02 |