ETHAN DEAN LUSH

SAN ANTONIO, TX
NPI1790657799
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  124511)
Enumeration Date2025-09-19
Last Update Date2025-09-19
Business Address
ETHAN DEAN LUSH
1202 E SONTERRA BLVD BLDG 6
SAN ANTONIO, TX 78258-4089
Phone number: 210-891-0800
Mailing Address
ETHAN DEAN LUSH
4092 TPC PKWY APT 436
SAN ANTONIO, TX 78261-2922
Phone number:
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