Organization
ADULT SWALLOW, SPEECH AND LANGUAGE SPECIALTY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY HOELTER (ADMINISTRATOR)
(956) 279-4508
Entity
Organization
Contact information
Practice address
817 N WARE RD, STE 20, MCALLEN, TX 78501-6611
(956) 800-4628
Mailing address
817 N WARE RD, STE 20, MCALLEN, TX 78501-6611
(956) 800-4628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19042
TX
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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