Most Relevant Information
Provider Data
| NPI Number: | 1003069238 |
| Provider Name: | MICHAEL T MCCORMACK CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 19197 |
Most Important Dates
| Enumeration Date: | 10/31/2008 |
| Last Updated: | 10/31/2008 |
Provider Practice Location
9900 WESTPARK DR
SUITE 100
HOUSTON
TX
770635277
Practice Location Phone/Fax
| Phone: | 7135283030 |
| Fax: | 7135280442 |
Provider Mailing Location
9900 WESTPARK DR
SUITE 100
HOUSTON
TX
770635277
Provider Mailing Phone/Fax
| Phone: | 7135283030 |
| Fax: | 7135280442 |