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NPI Code Detail

MEDICARE: GINGER RUNDELL

MEDICARE:   GINGER  RUNDELL
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 Pathologist

General Provider Information

NPI Number : 1467757856
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER RUNDELL
Provider Business Mailing Address
First Line : 9205 GARDEN GROVE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5521 VILLAGE CREEK DR
Second Line :
City : PLANO
State : TX
Zip : 75093-4829
Country : US
Telephone Number : 469-619-0843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2011
Last Update Date : 01/17/2011

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Directions to “ GINGER RUNDELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.