Provider Demographics
NPI:1790117547
Name:FRANTZ KASPAR, MEGAN WILSON (MS)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:WILSON
Last Name:FRANTZ KASPAR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 DOVE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4953
Mailing Address - Country:US
Mailing Address - Phone:509-859-6910
Mailing Address - Fax:
Practice Address - Street 1:816 KELLER PKWY
Practice Address - Street 2:SUITE B302
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-2479
Practice Address - Country:US
Practice Address - Phone:817-562-8731
Practice Address - Fax:817-562-8222
Is Sole Proprietor?:No
Enumeration Date:2013-08-04
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111143235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist