Doctor Name: | MR. JOSE BUENO |
NPI Number: | 1023164043 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLPA |
License Number: | 32744 |
Business Practice Address: | 871 Old Alice Rd Suite 600 Brownsville, TX - 785208268 |
Business Phone Number: | 9565412102 |
Business Fax Number: | 9565412502 |
Mailing Address: | 871 Old Alice Rd, Suite 600 BROWNSVILLE |
State: | TX |
Postal Code: | 785208268 |
Phone Number: | 9565412102 |
Fax Number: | 9565412502 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 32744 |
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: |