Organization
DYSPHAGIA THERAPY PLUS CM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILDA LETRICA JACK-JOHNSON M ED CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(832) 622-4929
Entity
Organization
Contact information
Practice address
5445 ALMEDA RD STE 450, HOUSTON, TX 77004-7403
(832) 622-4929
(713) 673-5113
Mailing address
5445 ALMEDA RD STE 450, HOUSTON, TX 77004-7403
(832) 622-4929
(713) 673-5113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
10/06/2023
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