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Provider Information for 1043641889

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Gender: FEMALE

Individual NPI: 1043641889

Calendar   Last Updated:  2013-12-04
  Certification Date: 


Name Value
NPI 1043641889
Enumeration Date 2013-12-04
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 62249
HOUSTON, TX 77205-2249
United States

Phone: 713-628-7498 | Fax:
View Map External Link
Primary Practice Address 16835 DEER CREEK DR 200
SPRING, TX 77379-4968
United States

Phone: 281-379-4373 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 2355S0801X - Specialist/Technologist Speech-Language Assistant TX 36491