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Organization

COWBOY UP THERAPIES LLC

Active
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Organization

COWBOY UP THERAPIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLEY WARREN JEWART MS, CCC-SLP (EXECUTIVE DIRECTOR AND SLP)
(713) 336-3419
Entity
Organization

Contact information

Practice address
27902 MOUND RD, HOCKLEY, TX 77447-8295
(713) 336-3419
Mailing address
27902 MOUND RD, HOCKLEY, TX 77447-8295

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225800000X
Recreation Therapist
235Z00000X
Speech-Language Pathologist
261QH0700X
Hearing and Speech Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UNKNOWN
PRIVATE PAY
TX
Enumeration date
10/14/2021
Last updated
10/14/2021
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