Provider Demographics
NPI:1306065057
Name:KNIFFEN-ENGLISH, CODY GENE (FITTER & DISPENSER)
Entity type:Individual
Prefix:MR
First Name:CODY
Middle Name:GENE
Last Name:KNIFFEN-ENGLISH
Suffix:
Gender:M
Credentials:FITTER & DISPENSER
Other - Prefix:MR
Other - First Name:CODY
Other - Middle Name:GENE
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FITTER & DISPENSER
Mailing Address - Street 1:4150 SOUTHWEST DR
Mailing Address - Street 2:SUITE 114
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-8222
Mailing Address - Country:US
Mailing Address - Phone:325-691-9074
Mailing Address - Fax:325-692-3311
Practice Address - Street 1:4150 SOUTHWEST DR
Practice Address - Street 2:SUITE 114
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-8222
Practice Address - Country:US
Practice Address - Phone:325-691-9074
Practice Address - Fax:325-692-3311
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50628237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531242OtherBCBS OF TEXAS