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Individual

BETHANY IRIS URQUIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3721 EXECUTIVE CENTER DR, SUITE 201, AUSTIN, TX 78731-1645
(512) 372-3777
(512) 372-3336
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111735
TX

Other

Enumeration date
08/21/2015
Last updated
08/21/2015
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