Organization
INGRID EUPHEMIA WEAVER
Active
Other names
Speech Therapy Solution
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR GUTIERREZ (BILLING)
(956) 380-3400
Entity
Organization
Contact information
Practice address
1306 MARINA BAY DR, APT 203 C, CLEAR LAKE SHORES, TX 77565-2474
(832) 519-4741
Mailing address
PO BOX 3104, BAYTOWN, TX 77522-3104
(832) 519-4741
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
103056
TX
Other
Enumeration date
02/12/2008
Last updated
04/20/2008
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