Provider Demographics
NPI:1336113174
Name:MILLS, KAREN L (AUD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:MILLS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 SABINE ST
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948
Mailing Address - Country:US
Mailing Address - Phone:409-787-3388
Mailing Address - Fax:409-787-3238
Practice Address - Street 1:815 WORTH STREET
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948
Practice Address - Country:US
Practice Address - Phone:409-787-3388
Practice Address - Fax:409-787-3238
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50685237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022373701Medicaid
TX022373701Medicaid
TXP00265693Medicare PIN
TX8D02109Medicare ID - Type Unspecified