Mr Colin Blake Larue, AUD is a
Audiologist based in Stephenville, Texas. Mr Colin Blake Larue is licensed to practice in Texas (license number 51491) and his current practice location is
2295 Nw Loop, Stephenville, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 968-4174.
NPI number for Mr Colin Blake Larue is 1487812798 and his current mailing address is 400 S Henderson St, Fort Worth, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487812798.
Healthcare Provider's Profile
| Full Name | Mr Colin Blake Larue |
|---|
| Gender | Male |
|---|
| Speciality | Audiologist |
|---|
| Location | 2295 Nw Loop, Stephenville, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487812798
- Provider Enumeration Date: 05/23/2008
- Last Update Date: 04/25/2012
Medical Identifiers
Medical identifiers for Mr Colin Blake Larue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487812798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 51491 (Texas) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Colin Blake Larue is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Colin Blake Larue, AUD
400 S Henderson St,
Fort Worth, TX 76104-1017
Ph: (817) 335-2583 | Mr Colin Blake Larue, AUD
2295 Nw Loop,
Stephenville, TX 76401-1701
Ph: (254) 968-4174 |
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