Provider Demographics
NPI:1760829832
Name:MCRAE, ANN C (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:MCRAE
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 1:17390 PRESTON RD STE 320
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5791
Mailing Address - Country:US
Mailing Address - Phone:504-914-4412
Mailing Address - Fax:
Practice Address - Street 1:17390 PRESTON RD STE 320
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5791
Practice Address - Country:US
Practice Address - Phone:972-733-3344
Practice Address - Fax:972-733-3852
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
TX80413237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter