Provider Demographics
NPI:1386340263
Name:JARS OF PLAY, PLLC
Entity type:Organization
Organization Name:JARS OF PLAY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:214-514-0236
Mailing Address - Street 1:1830 MEADOW CREST DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-7060
Mailing Address - Country:US
Mailing Address - Phone:214-514-0236
Mailing Address - Fax:
Practice Address - Street 1:3712 OLD DENTON RD STE 114
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2813
Practice Address - Country:US
Practice Address - Phone:214-514-0236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JARS OF PLAY, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639447147OtherSLP