Dubra, Phoema
Dubra, Phoema is an sole proprietor health care provider with primary practice located at 3000 Pegasus Park Dr , Dallas TX 75247-6204. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dubra, Phoema can be contacted via phone (469) 621-8500.Contact Information
Primary practice address
3000 Pegasus Park Dr
Dallas TX 75247-6204
Phone: (469) 621-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 108697 | Texas |
Profile Details
| NPI number | 1568756914 |
|---|---|
| LBN Legal business name | Dubra, Phoema |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2011 |
| Last updated | Aug 30th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568756914 | NPPES |
| Texas | MEDICAID | 752659683 |
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