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General NPI Number Information
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NPI Number | 1326814690
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Entity Type | Organization
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Legal Business Name | KCK THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 11803 DOCKSIDE SHORES DR
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City | CYPRESS
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State | TX
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Zip | 77433-8217
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Country | US
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Telephone | 713-408-9306
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Fax |
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Provider Business Mailing Address
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Address Line | 11803 DOCKSIDE SHORES DR
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City | CYPRESS
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State | TX
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Zip | 77433-8217
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Country | US
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Telephone | 713-408-9306
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Fax |
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | CHRISTOPHER HARRIS
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Credential |
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Telephone | 713-408-9306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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