Provider Demographics
NPI:1689835480
Name:TEXAS PROFESSIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:TEXAS PROFESSIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:832-797-7099
Mailing Address - Street 1:230 SPRING HILLS DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2381
Mailing Address - Country:US
Mailing Address - Phone:832-797-7099
Mailing Address - Fax:
Practice Address - Street 1:230 SPRING HILLS DR
Practice Address - Street 2:SUITE 305
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-2381
Practice Address - Country:US
Practice Address - Phone:832-797-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty