Wilcox, Lisa Wear

Wilcox, Lisa Wear is an individual health care provider with primary practice located at 4502 Medical Dr Hearing And Balance Center, San Antonio TX 78229-4402. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Wilcox, Lisa Wear can be contacted via phone (210) 358-4583.

Contact Information

Primary practice address
4502 Medical Dr Hearing And Balance Center San Antonio TX 78229-4402
Phone: (210) 358-4583
Fax: (210) 358-2654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A 01362 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80134 Texas
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 80134 Texas

Profile Details

NPI number 1285785485
LBN Legal business name Wilcox, Lisa Wear
Credentials AUD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Aug 11th, 2009 - about 17 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 1285785485 NPPES
Ohio Other P00434163 RRMC
Ohio Other PENDING RRMC
Ohio MEDICAID 5187350 RRMC
Ohio Other 04709 RRMC
Ohio Other 296609964-002 RRMC
Ohio Other 296609964-001 RRMC
Ohio Other PENDING RRMC

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