Organization
CONQUEST SPEECH THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL CAIN M.S. CCC-SLP (SPEECH PATHOLOGIST)
(214) 213-0054
Entity
Organization
Contact information
Practice address
1472 N HAMPTON RD, STE 107, DESOTO, TX 75115-3001
(214) 213-0054
Mailing address
1472 N HAMPTON RD, STE 107, DESOTO, TX 75115-3001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180149002
—
TX
Enumeration date
04/27/2011
Last updated
04/27/2011
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