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Organization
RADAR SUPPORTS
Active
Organization
RADAR SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHNALISIA LOPEZ (OWNER)
(806) 729-2597
Entity
Organization
Contact information
Practice address
2807 W 7TH ST, PLAINVIEW, TX 79072-6729
(888) 670-1221
Mailing address
2807 W 7TH ST, PLAINVIEW, TX 79072-6729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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