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NPI Code Detail

MEDICARE: MRS. FRANCES CHRISTINA UNDERWOOD M.S. CCC-SLP

MEDICARE:  MRS. FRANCES CHRISTINA UNDERWOOD  M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist105122TX

General Provider Information

NPI Number : 1104162536
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FRANCES CHRISTINA UNDERWOOD M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1608 WESTPARK VIEW DR
Second Line : APT 623
City : FORT WORTH
State : TX
Zip : 76108-7918
Country : US
Telephone Number : 662-316-1485
Fax Number :
Provider Business Practice Location Address
First Line : 3201 RIVER PARK DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-9533
Country : US
Telephone Number : 817-386-8531
Fax Number : 817-763-0071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 07/20/2013

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Directions to “ MRS. FRANCES CHRISTINA UNDERWOOD M.S. CCC-SLP” Practice Location

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