Provider Demographics
NPI:1750067252
Name:KTX SPEECH-LANGUAGE PATHOLOGY, PLLC
Entity type:Organization
Organization Name:KTX SPEECH-LANGUAGE PATHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUME
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:512-265-6376
Mailing Address - Street 1:485 BELLA VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-8746
Mailing Address - Country:US
Mailing Address - Phone:512-265-6376
Mailing Address - Fax:
Practice Address - Street 1:601 W CENTER ST
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-9427
Practice Address - Country:US
Practice Address - Phone:512-265-6376
Practice Address - Fax:877-872-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty