Provider Demographics
NPI:1679299440
Name:APRAXIA DALLAS, PLLC
Entity Type:Organization
Organization Name:APRAXIA DALLAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDRUP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:214-789-9431
Mailing Address - Street 1:4220 PROTON RD STE 165
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75244-3598
Mailing Address - Country:US
Mailing Address - Phone:214-384-7198
Mailing Address - Fax:800-213-8490
Practice Address - Street 1:4220 PROTON RD STE 165
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-3598
Practice Address - Country:US
Practice Address - Phone:214-384-7198
Practice Address - Fax:800-213-8490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech