Organization
MACIEL 2 LLC
Active
Other names
Little Land New Braunfels
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DOULDER (OWNER/CLINIC DIRECTOR)
(512) 461-3617
Entity
Organization
Contact information
Practice address
2009 S WALNUT AVE STE 103, NEW BRAUNFELS, TX 78130-2364
(830) 507-1285
(512) 367-5753
Mailing address
2009 S WALNUT AVE STE 103, NEW BRAUNFELS, TX 78130-2364
(830) 507-1285
(512) 367-5753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
01/08/2025
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