MEDICARE: MARION MILLAR 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
1	225400000X	Rehabilitation Practitioner	13279	TX

General Provider Information

NPI Number	:	1922297696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARION MILLAR SLP

Provider Business Mailing Address
First Line	:	10622 CARLOTA CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-4725
Country	:	US
Telephone Number	:	281-615-1269
Fax Number	:

Provider Business Practice Location Address
First Line	:	7514 KINGSLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-4412
Country	:	US
Telephone Number	:	713-644-8393
Fax Number	:

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

Provider Enumeration Date	:	10/18/2007
Last Update Date	:	10/18/2007

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Directions to “ MARION MILLAR SLP” Practice Location

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