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Organization
PEDI PROS INC
Active
Organization
PEDI PROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA K MANN MS CCC SLP (PRESIDENT)
(915) 633-8301
Entity
Organization
Contact information
Practice address
5640 MONTANA AVE, STE G, EL PASO, TX 79925-3329
(915) 633-8301
(915) 591-6696
Mailing address
5640 MONTANA AVE, STE G, EL PASO, TX 79925-3329
(915) 633-8301
(915) 591-6696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16603
TX
Other
Enumeration date
10/14/2006
Last updated
08/22/2020
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