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Organization

THERA PEDS PLLC

Active
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Organization

THERA PEDS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ONZARIA DAVIS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/MANAGER)
(252) 657-8901
Entity
Organization

Contact information

Practice address
1925 E BELT LINE RD, STE 475, CARROLLTON, TX 75006-5801
(252) 657-8901
Mailing address
5508 LONGHORN DR, THE COLONY, TX 75056-3844
(252) 657-8901

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103902
TX

Other

Enumeration date
07/01/2015
Last updated
09/15/2015
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