Provider Demographics
NPI:1689374365
Name:TEXAS THERAPY AND REHABILITATION SERVICES PLLC
Entity Type:Organization
Organization Name:TEXAS THERAPY AND REHABILITATION SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:806-340-9057
Mailing Address - Street 1:2001 PENTON LINNS DR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-5055
Mailing Address - Country:US
Mailing Address - Phone:806-340-9057
Mailing Address - Fax:
Practice Address - Street 1:2001 PENTON LINNS DR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-5055
Practice Address - Country:US
Practice Address - Phone:806-340-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty