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Organization
WHITE BRIDLE THERAPY
Active
Organization
WHITE BRIDLE THERAPY
Active
Other names
White Bridle Humane Society
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE BULLIN (OWNER)
(972) 740-0900
Entity
Organization
Contact information
Practice address
660 KELLER SMITHFIELD RD, KELLER, TX 76248-4228
(972) 940-0900
Mailing address
615 THOMPSON ST, IRVING, TX 75061-7218
(972) 740-0990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097ZN
BCBS
TX
Enumeration date
05/06/2014
Last updated
05/06/2014
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