Individual
DENIT PONGKHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 N CENTRAL EXPY FL 7, DALLAS, TX 75231-5027
(972) 794-6712
Mailing address
9400 N CENTRAL EXPY FL 7, DALLAS, TX 75231-5027
(972) 794-6712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120085901
—
TX
Enumeration date
05/01/2022
Last updated
05/01/2022
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