Provider Demographics
NPI:1467063024
Name:FOX PEDIATRIC LANGUAGE AND LITERACY SERVICES, PLLC
Entity Type:Organization
Organization Name:FOX PEDIATRIC LANGUAGE AND LITERACY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:832-304-4506
Mailing Address - Street 1:914 LAMONTE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-4440
Mailing Address - Country:US
Mailing Address - Phone:832-304-4506
Mailing Address - Fax:
Practice Address - Street 1:914 LAMONTE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-4440
Practice Address - Country:US
Practice Address - Phone:832-304-4506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4098170Medicaid