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1063882215
CHARLES BIRD
AUSTIN, TX
NPI
1063882215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 110618)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
Mr. CHARLES BIRD
3721 EXECUTIVE CENTER DR #201
AUSTIN, TX 78731-1645
Phone number: 512-372-3777
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Mailing Address
Mr. CHARLES BIRD
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200
HURST, TX 76053-7209
Phone number: 817-292-8787
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