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NPI Code Detail

MEDICARE: MILESTONES CHILD

MEDICARE: MILESTONES CHILD
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 Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18T7238OTHERTXBCBSTX

General Provider Information

NPI Number : 1588868475
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILESTONES CHILD
Provider Business Mailing Address
First Line : 1490 E WHITESTONE BLVD
Second Line : BUILDING 2, SUITE 100
City : CEDAR PARK
State : TX
Zip : 78613-2274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1490 E WHITESTONE BLVD
Second Line : BUILDING 2, SUITE 100
City : CEDAR PARK
State : TX
Zip : 78613-2274
Country : US
Telephone Number : 512-260-3300
Fax Number :
Authorized Official
Title or Position : OWNER
Name : STACEY LESIEUR
Credential :
Telephone Number : 512-260-3300
Provider Enumeration Date : 06/13/2007
Last Update Date : 08/22/2020

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Directions to “MILESTONES CHILD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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