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4840 W Panther Creek Dr Ste 200 The Woodlands TX 77381-3542 | |
| (936) 251-3021 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 4840 W Panther Creek Dr Ste 200, The Woodlands, Texas |
| Authorized Official Name and Position | Kim Erbele (OFFICE MANAGER) |
| Authorized Official Contact | 9362513021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4840 W Panther Creek Dr Ste 200 The Woodlands TX 77381-3542 Ph: (936) 251-3021 | 4840 W Panther Creek Dr Ste 200 The Woodlands TX 77381-3542 Ph: (936) 251-3021 |
| NPI Number | 1689221442 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Medicare PECOS PAC ID | 2163891441 |
|---|---|
| Medicare Enrollment ID | O20221208000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689221442 | NPI | - | NPPES |
| Provider Name | Allison Haggerty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811218134 PECOS PAC ID: 2961652441 Enrollment ID: I20121017000965 |
| Provider Name | Julie R Cordell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730516899 PECOS PAC ID: 3971731753 Enrollment ID: I20140124001816 |
| Provider Name | Megan Marsh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528327053 PECOS PAC ID: 9931358546 Enrollment ID: I20160722000430 |
| Provider Name | Danielle Orrock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922616697 PECOS PAC ID: 2769846872 Enrollment ID: I20230907003390 |
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