Provider Demographics
NPI:1427339670
Name:FOLLY, SANDRA DAVIS (BC-HIS, ACA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:DAVIS
Last Name:FOLLY
Suffix:
Gender:F
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 N. YARBROUGH
Mailing Address - Street 2:STE. U
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7902
Mailing Address - Country:US
Mailing Address - Phone:915-504-1715
Mailing Address - Fax:
Practice Address - Street 1:1188 N. YARBROUGH STE U
Practice Address - Street 2:SOUTHWEST HEARING AID SOLUTIONS
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7902
Practice Address - Country:US
Practice Address - Phone:915-504-1715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBCBSOther530294