| Maddox Services Llc | |
|
1206 Rio Grande Ct Allen TX 75013-4613 | |
| (254) 856-1210 | |
| Not Available |
| Full Name | Maddox Services Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 1206 Rio Grande Ct, Allen, Texas |
| Authorized Official Name and Position | Charles Maddox (ADMINISTRATOR) |
| Authorized Official Contact | 2548561210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maddox Services Llc 1206 Rio Grande Ct Allen TX 75013-4613 Ph: (888) 799-7909 | Maddox Services Llc 1206 Rio Grande Ct Allen TX 75013-4613 Ph: (254) 856-1210 |
| NPI Number | 1053161208 |
|---|---|
| Provider Enumeration Date | 03/22/2024 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Medicare PECOS PAC ID | 6608318928 |
|---|---|
| Medicare Enrollment ID | O20240603000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053161208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Katherine Jewel Morris |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205680949 PECOS PAC ID: 0648712984 Enrollment ID: I20240603000893 |
| Provider Name | Nikisha Nicole Clementin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861662157 PECOS PAC ID: 1557804911 Enrollment ID: I20240613004293 |
| Provider Name | Mauika Hicks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114587748 PECOS PAC ID: 5294262382 Enrollment ID: I20250101000040 |
| Provider Name | Aundra J Duncan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780190256 PECOS PAC ID: 3971031014 Enrollment ID: I20250116002717 |
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