Individual
KHAKI VANCE DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
(877) 688-2520
(877) 688-2520
Mailing address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
(877) 688-2520
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
44631
TX
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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