Doctor Name: | MRS. AMANDA VARGAS |
NPI Number: | 1003827635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A., SLP-A |
License Number: | 32789 |
Business Practice Address: | 1145 Ross St Stes. K & L San Benito, TX - 785864421 |
Business Phone Number: | 9563994100 |
Business Fax Number: | 9563994107 |
Mailing Address: | Po Box 683, COMBES |
State: | TX |
Postal Code: | 785350683 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 02/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 32789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |