MEDICARE: SHOYA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0700X	Hearing and Speech Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1215779491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHOYA LLC

Provider Business Mailing Address
First Line	:	4200 SPRING VALLEY RD
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-3616
Country	:	US
Telephone Number	:	972-674-8489
Fax Number	:	972-674-2939

Provider Business Practice Location Address
First Line	:	4200 SPRING VALLEY RD
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75244-3616
Country	:	US
Telephone Number	:	972-674-8489
Fax Number	:	972-674-2939

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MADHURI DEVI BUDDHA
Credential	:
Telephone Number	:	267-251-9662

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	12/11/2024

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Directions to “SHOYA LLC ” Practice Location

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