Dave's Enterprises

NPI 1073612719 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073612719
Enumeration Date 09/21/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID GENTRY W DAVID GENTRY
Position CEO
Phone (580) 759-6424
Fax (580) 759-3396
Practice Location
49167 140TH ST
BYARS OK, 74831-7305, US
Phone (580) 759-6424
Fax (580) 759-3396
Business Location
49167 140TH ST
BYARS OK, 74831-7305, US
Phone (580) 759-6424
Fax (580) 759-3396
Toxanomy
Taxonomy Code 235Z00000X
License State Oklahoma
License Number 2719
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According to our database, Dave's Enterprises NPI is 1073612719, taxonomy code is 235Z00000X and license number is 2719, license state is located at Oklahoma. Dave's Enterprises physically located at 49167 140th St, Byars OK, 74831-7305. NPI Number 1033115704 has the healthcare provider type.

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1073612719 NPI number is provided on an as is basis without warranty of any kind. 1073612719 is maintained by the National Plan & Provider Enumeration System. The contents of Dave's Enterprises are for informational purposes only.