Tersia Raulerson, HIS

Individual provider Active NPI Hearing Instrument Specialist · Godley, TX

NPI 1043961329 · NPPES record last updated Jan 18, 2022

Key facts

NPI
1043961329
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
50682 (TX)
Practice address
7958 Grassland Dr
Godley, TX 76044-3475
Phone
(214) 697-1360
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
50682TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
237700000X 50682 TX Yes

Addresses

Primary practice location

7958 Grassland Dr
Godley, TX 76044-3475

Mailing address

7958 Grassland Dr
Godley, TX 76044-3475
Phone (214) 697-1360

Other providers in Godley, TX

All providers in Godley, TX · Hearing Instrument Specialist in Texas

Sources for this page

Verify at the official NPI Registry.