MEDICARE: LINDA MICHELE LIRA

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
1	2355S0801X	Speech-Language Assistant	42459	TX

General Provider Information

NPI Number	:	1447987102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MICHELE LIRA

Provider Business Mailing Address
First Line	:	7200 SPRING CYPRESS RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3215
Country	:	US
Telephone Number	:	832-249-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6111 BOURGEOIS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-3903
Country	:	US
Telephone Number	:	832-484-6800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	08/03/2022

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Directions to “ LINDA MICHELE LIRA ” Practice Location

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