Doctor Name: | EFRAIN AGUSTIN |
NPI Number: | 1255634077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLPASST |
License Number: | 35022 |
Business Practice Address: | 3005 E Business Highway 83 Donna, TX - 785373623 |
Business Phone Number: | 9562460381 |
Business Fax Number: | 9564612072 |
Mailing Address: | 3005 E Business Highway 83, DONNA |
State: | TX |
Postal Code: | 785373623 |
Phone Number: | 9562460381 |
Fax Number: | 9564612072 |
NPI Enumeration Date: | 12/16/2010 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 35022 |
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: |