NPI age
16 years
Enumerated 2009-07-01
Across 18055 active speech-language pathologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0944746-02 | |
| 01 | 0031DG | BLUE CROSS BLUE SHIELD |
| 01 | 74-2745294 | TAX ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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