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Organization
FEEDING AND DYSPHAGIA RESOURCES PC
Active
Organization
FEEDING AND DYSPHAGIA RESOURCES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SOWDER CPC, CCP (COO)
(940) 384-6238
Entity
Organization
Contact information
Practice address
1105 LIVE OAK DR, PROVIDENCE VILLAGE, TX 76227-5491
(214) 538-7328
Mailing address
PO BOX 2023, DENTON, TX 76202-2023
(940) 384-6238
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026QK
BCBS
TX
Enumeration date
10/01/2007
Last updated
07/10/2008
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