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Organization
MOON LILY THERAPY PPLC
Active
Organization
MOON LILY THERAPY PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELA SUE OWENS SLP (SPEECH/LANGUAGE PATHOLOGIST)
(713) 562-2572
Entity
Organization
Contact information
Practice address
2110 SHEARN ST UNIT F41, HOUSTON, TX 77007-3972
(713) 562-2572
(713) 932-6713
Mailing address
2110 SHEARN ST UNIT F412110, HOUSTON, TX 77007-3962
(713) 562-2572
(713) 932-6713
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
528750
BCBSTX
TX
Enumeration date
06/06/2017
Last updated
07/21/2022
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