Provider Demographics
NPI:1740673391
Name:HOWARD, RONALD (HIS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-1817
Mailing Address - Country:US
Mailing Address - Phone:806-799-8950
Mailing Address - Fax:806-799-8939
Practice Address - Street 1:1185 S CAMINO DEL RIO
Practice Address - Street 2:170
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81303-6888
Practice Address - Country:US
Practice Address - Phone:970-403-8475
Practice Address - Fax:806-799-8939
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO233237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist