Organization
FORT WORTH SPEECH AND LACTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL EARL (OWNER)
(817) 253-9878
Entity
Organization
Contact information
Practice address
12800 PORTIFINO ST, FORT WORTH, TX 76126-6108
(817) 253-9878
Mailing address
12800 PORTIFINO ST, FORT WORTH, TX 76126-6108
(817) 253-9878
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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