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NPI Code Detail

MEDICARE: DIAGNOSTIC ASSESSMENT SERVICES, INC.

MEDICARE: DIAGNOSTIC ASSESSMENT SERVICES, INC.
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
1225100000XPhysical Therapist
2225200000XPhysical Therapy Assistant
3225X00000XOccupational Therapist
42355S0801XSpeech-Language Assistant
5235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1548960701
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAGNOSTIC ASSESSMENT SERVICES, INC.
Provider Business Mailing Address
First Line : 4100 ALPHA RD STE 1150
Second Line :
City : DALLAS
State : TX
Zip : 75244-4335
Country : US
Telephone Number : 972-243-4102
Fax Number :
Provider Business Practice Location Address
First Line : 4100 ALPHA RD STE 1150
Second Line :
City : DALLAS
State : TX
Zip : 75244-4335
Country : US
Telephone Number : 972-243-4102
Fax Number :
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST
Name : TAMALA CLOSE
Credential : MS,CCC-SLP
Telephone Number : 214-336-3123
Provider Enumeration Date : 03/07/2023
Last Update Date : 08/01/2023

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Directions to “DIAGNOSTIC ASSESSMENT SERVICES, INC. ” Practice Location

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