MEDICARE: JAMYE THOMAS EADES

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	235Z00000X	Speech-Language Pathologist	17774	TX

General Provider Information

NPI Number	:	1841984101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMYE THOMAS EADES

Provider Business Mailing Address
First Line	:	4066 S BETTER DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-6262
Country	:	US
Telephone Number	:	214-529-3655
Fax Number	:

Provider Business Practice Location Address
First Line	:	4066 S BETTER DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-6262
Country	:	US
Telephone Number	:	214-529-3655
Fax Number	:

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

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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Directions to “ JAMYE THOMAS EADES ” Practice Location

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