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NPI Code Detail

MEDICARE: MRS. JEAN MARIE BRAGUE CCC-SLP

MEDICARE: MRS. JEAN MARIE BRAGUE 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 Pathologist118024TX

General Provider Information

NPI Number : 1114853009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEAN MARIE BRAGUE CCC-SLP
Provider Business Mailing Address
First Line : 2419 RIDGEVALLEY DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-2831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8222 N BELT LINE RD STE 150
Second Line :
City : IRVING
State : TX
Zip : 75063-2219
Country : US
Telephone Number : 512-739-7499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2026
Last Update Date : 06/19/2026

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Directions to “ MRS. JEAN MARIE BRAGUE CCC-SLP” Practice Location

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