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Organization
THERAPY2000
Active
Organization
THERAPY2000
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILFORD OTIS ROQUE (SPEECH THERAPIST)
(972) 989-6454
Entity
Organization
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32874
TX
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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