Healthcare Provider Details

I. General information

NPI: 1639447147
Provider Name (Legal Business Name): TESIA CHOI M.S.,CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 S PRESTON RD STE 1220
PROSPER TX
75078-1913
US

IV. Provider business mailing address

291 S PRESTON RD STE 1220
PROSPER TX
75078-1913
US

V. Phone/Fax

Practice location:
  • Phone: 214-514-0236
  • Fax: 469-574-7222
Mailing address:
  • Phone: 214-514-0236
  • Fax: 469-574-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number108527
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number108527
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30070
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number36648
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: