Edris, Robert W

Edris, Robert W is an individual health care provider with primary practice located at 201 S Ih 35 Ste B , New Braunfels TX 78130-4876. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Edris, Robert W can be contacted via phone (830) 609-3438.

Contact Information

Primary practice address
201 S Ih 35 Ste B New Braunfels TX 78130-4876
Phone: (830) 609-3438
Fax: (830) 609-3438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 51259 Texas

Profile Details

NPI number 1588848790
LBN Legal business name Edris, Robert W
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Jul 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588848790 NPPES
Texas Other 8K5237 MEDICARE INDIVIDUAL PTAN
Texas MEDICAID 1994675-01 MEDICARE INDIVIDUAL PTAN

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