DR. Mica Jill Ingram, AU.D.

NPI #1720274061 in Irving, Texas

Provider Information

NPI Number: 1720274061
Entity Type: Individual
Name: DR. Mica Jill Ingram, AU.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: AU.D.
Enumeration Date: Sep 20, 2007
Last Updated: Jul 9, 2018

Practice Location

Address: 400 W IH 635 FWY STE 360
City: Irving
State: Texas
ZIP Code: 75063-3764
Phone: (972) 402-8404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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