Midland Speech Center LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110650 Issued in TX

Legal business name

MIDLAND SPEECH CENTER LLC

Doing business as

Midland Speech Center

Practice address

1608 W Texas Ave
Midland, TX 79701-6559

Phone

(432) 279-1133

NPI assigned

Mar 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dara L Jackson, M.S., CCC-SLPNPI 1154790491

Title

President/Speech-Language Pathologi

Phone

(575) 444-8047

Specialties & licenses 2

Addresses

Other names 1

• Midland Speech Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dara Jackson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Midland, TX
  • NPI 1154790491
  NPD (past) Authorized official
• Sara Vest Dunnam, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Midland, TX
  • NPI 1821341546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1851831051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016559",
            "telephone_number": "432-279-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W TEXAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016559",
            "telephone_number": "432-279-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND SPEECH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH-LANGUAGE PATHOLOGI",
        "authorized_official_telephone_number": "575-444-8047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110650",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midland Speech Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Midland, TX
• Providers in Midland, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.