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Organization
APPLES AND BANANAS PEDIATRIC ORAL MOTOR AND DYSPHAGIA CENTER
Active
Organization
APPLES AND BANANAS PEDIATRIC ORAL MOTOR AND DYSPHAGIA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LEWIS SERVANCE M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(713) 545-0349
Entity
Organization
Contact information
Practice address
3154 BONNEY BRIAR DR, MISSOURI CITY, TX 77459-3113
(713) 545-0349
Mailing address
3154 BONNEY BRIAR DR, MISSOURI CITY, TX 77459-3113
(713) 545-0349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16446
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376662064
NPI (INDIVIDUAL)
TX
Enumeration date
07/23/2007
Last updated
07/23/2007
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