Healthcare Provider Details

I. General information

NPI: 1881378727
Provider Name (Legal Business Name): HANNAH GRACE HUFNAGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PRESTON RD STE 300
PLANO TX
75093-3603
US

IV. Provider business mailing address

1400 PRESTON RD STE 300
PLANO TX
75093-3603
US

V. Phone/Fax

Practice location:
  • Phone: 214-949-5502
  • Fax:
Mailing address:
  • Phone: 214-949-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number121006
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: