Individual
CALEB ZACHARIAH MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 BRIGGS ST STE 990, SAN ANTONIO, TX 78224-1287
(210) 226-9536
Mailing address
305 NE LOOP 820 STE 200, HURST, TX 76053-7211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
118254
TX
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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