Most Relevant Information
Provider Data
| NPI Number: | 1003397100 |
| Provider Name: | KRISTIAN TAGE ORMSON |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 80618 |
Most Important Dates
| Enumeration Date: | 08/27/2018 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
5501 W 9TH AVE
AMARILLO
TX
791064130
Practice Location Phone/Fax
| Phone: | 8064684343 |
| Fax: | 8064684366 |
Provider Mailing Location
5501 W 9TH AVE
AMARILLO
TX
791064130
Provider Mailing Phone/Fax
| Phone: | 8064684343 |
| Fax: | 8064684366 |