Organization
HARGIS PEDIATRIC THERAPY, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN R HARGIS SLP (OWNER/SLP)
(903) 277-8039
Entity
Organization
Contact information
Practice address
815 N GASKILL ST, HUNTSVILLE, AR 72740-8968
(903) 277-8039
(479) 738-2070
Mailing address
558 MADISON 8593, HUNTSVILLE, AR 72740-9326
(903) 277-8039
(479) 738-2070
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
3333
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199958721
—
AR
Enumeration date
06/26/2017
Last updated
06/26/2017
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