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Organization

APPLES AND BANANAS PEDIATRIC ORAL MOTOR AND DYSPHAGIA CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANNON LEWIS SERVANCE M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(713) 545-0349
Entity
Organization

Contact information

Practice address
3154 BONNEY BRIAR DR, MISSOURI CITY, TX 77459-3113
(713) 545-0349
Mailing address
3154 BONNEY BRIAR DR, MISSOURI CITY, TX 77459-3113
(713) 545-0349

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16446
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376662064
NPI (INDIVIDUAL)
TX
Enumeration date
07/23/2007
Last updated
07/23/2007
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