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NPI Code Detail

MEDICARE: BAILEY RAE DYKES M.S.

MEDICARE: BAILEY RAE DYKES M.S.
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 Pathologist115261TX

General Provider Information

NPI Number : 1508320714
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY RAE DYKES M.S.
Provider Business Mailing Address
First Line : 503 E PALM VALLEY BLVD STE 300503E
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3046
Country : US
Telephone Number : 512-341-9991
Fax Number :
Provider Business Practice Location Address
First Line : 503 E PALM VALLEY BLVD STE 300
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-3045
Country : US
Telephone Number : 512-341-9991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2019
Last Update Date : 07/28/2025

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Directions to “ BAILEY RAE DYKES M.S.” Practice Location

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