Provider Demographics
NPI:1740976166
Name:FLEX PEDIATRICS, LLC
Entity type:Organization
Organization Name:FLEX PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER & SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:985-688-4489
Mailing Address - Street 1:3301 ROBIN TRL
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0336
Mailing Address - Country:US
Mailing Address - Phone:985-688-4489
Mailing Address - Fax:
Practice Address - Street 1:3301 ROBIN TRL
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-0336
Practice Address - Country:US
Practice Address - Phone:985-688-4489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-18
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1619424447OtherNPI
TX1245580752OtherNPI