NPI 1114291150

Phillip Gandy

Practitioner Audiologist-Hearing Aid Fitter Mansfield, TX

Practice location

Address: 1710 Country Club Dr 102, Mansfield, TX 76063-2623
Phone: (817) 779-6955
Fax: (817) 473-9963
Mailing address: 400 S Henderson St, Fort Worth, TX 76104-1017

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence 11106 (TX)

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Registry record

NPI: 1114291150
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.