Individual
IDA LOUISSE SERRAON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 BEDFORD RD, BEDFORD, TX 76021-6985
(817) 508-0030
Mailing address
200 DEERPATH RD, HICKORY CREEK, TX 75065-7508
(972) 207-1398
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
43092
TX
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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