Evolution Pediatric Therapy, LLC

Speech-Language Pathologist · Keller, TX

Organization Active NPI

NPI number 1215421268

Practice location

1620 Birch Grove Trl
Keller, TX 76248-9732
Phone
(214) 392-3138

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NPI record

NPI
1215421268
Entity type
Organization (Type 2)
Enumeration date
June 21, 2018
Last updated
June 21, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

Authorized official

Name
Keldra Warren, SLPA
Title
Owner/Speech-Language Pathologist a
Phone
(214) 392-3138

About Evolution Pediatric Therapy, LLC

Evolution Pediatric Therapy, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1620 Birch Grove Trl, Keller, TX 76248-9732. The NPI number 1215421268 was assigned on June 21, 2018 and the record was last updated on June 21, 2018.

The authorized official for this organization is Keldra Warren, SLPA, Owner/Speech-Language Pathologist a.

Frequently asked questions

What is the NPI number of Evolution Pediatric Therapy, LLC?

The NPI number is 1215421268.

What is the phone number of Evolution Pediatric Therapy, LLC?

The phone number listed for the practice location is (214) 392-3138.

Where is Evolution Pediatric Therapy, LLC located?

1620 Birch Grove Trl, Keller, TX 76248-9732.

What is the taxonomy code for Evolution Pediatric Therapy, LLC?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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