Tyler Wagnon, HIS
Hearing Instrument Specialist in Shreveport, LA. Individual provider (NPI-1).
NPI number1982161659
StatusActive
Last updated in NPPESFeb 28, 2019
Details
- NPI
- 1982161659
- Entity type
- Individual (NPI-1)
- Name
- Tyler Wagnon
- Credential
- HIS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Last updated
- Feb 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 237700000X | Hearing Instrument Specialist | 1268 | LA | Yes |
Practice location
425 Ashley Ridge BlvdShreveport, LA 71106-7226
Phone 318-797-3311
Mailing address
494 Ockley DrShreveport, LA 71105-2920
Phone 318-840-6414
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Other Hearing Instrument Specialist providers in Shreveport, LA
- Joyce Lanell BladesNPI 1770249476
- Gerald Lynn CockerhamNPI 1386966273
- Lindsey P Molloy, HISNPI 1245588649
- Justin Stuart, HISNPI 1356631584
All 5 Hearing Instrument Specialist providers in Shreveport · All 11,081 providers in Shreveport
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