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Organization
TALLY M WARD
Active
Organization
TALLY M WARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALLY M WARD (OWNER/SLP)
(469) 917-0805
Entity
Organization
Contact information
Practice address
200 N I 35 STE C, RED OAK, TX 75154-4241
(469) 917-0805
(469) 917-0799
Mailing address
200 N I 35 STE C, RED OAK, TX 75154-4241
(469) 917-0805
(469) 917-0799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286230202
—
TX
Enumeration date
05/02/2018
Last updated
06/11/2021
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