Individual
ANGELA KRAFT (WIDEMAN)
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581
(281) 997-8509
(888) 449-0039
Mailing address
1422 WEBBERVILLE ROAD, AUSTIN, TX 78721
(512) 667-4316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106879
TX
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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