| Organization Name: | TANYA MANRIQUEZ LUJAN M.S., CCC-SLP, PLLC |
| NPI Number: | 1669836573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TANYA MANRIQUEZ LUJAN (SPEECH LANGUAGE PATHOLOGIST) |
| Mailing Address: | 850 Tower Dr Ste 112 Odessa |
| State: | TX US |
| Postal Code: | 797614252 |
| Phone Number: | 4326615405 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2016 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 107247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |