Individual provider · Type 1 NPI

Khaki Vance Dubose

Speech-Language Assistant · Irving, TX

NPI number 1629954326 Active

Practice location

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Fax (877) 688-2520

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X44631 (TX)

Speech-Language Assistant: Definition to come...

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About NPI 1629954326

Khaki Vance Dubose's National Provider Identifier is 1629954326, issued on Aug 15, 2025. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Irving, TX. The record was last updated on Aug 15, 2025.