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NPI Code Detail

MEDICARE: JOANN GRAY SLP

MEDICARE:   JOANN  GRAY  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 Pathologist102971TX

General Provider Information

NPI Number : 1508135120
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN GRAY SLP
Provider Business Mailing Address
First Line : 340 N SAM HOUSTON PKWY E
Second Line : SUITE 246
City : HOUSTON
State : TX
Zip : 77060-3305
Country : US
Telephone Number : 713-510-5699
Fax Number : 832-932-1629
Provider Business Practice Location Address
First Line : 340 N SAM HOUSTON PKWY E
Second Line : SUITE 246
City : HOUSTON
State : TX
Zip : 77060-3305
Country : US
Telephone Number : 713-510-5699
Fax Number : 832-932-1629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 01/23/2014

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Directions to “ JOANN GRAY SLP” Practice Location

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