Individual
BRETT DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 S ADAMS ST, SUITE 102, FORT WORTH, TX 76104-2147
(817) 878-2834
Mailing address
632 BRENNA RD, WAXAHACHIE, TX 75165-4475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19161
TX
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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