Organization · NPI-2

Abrazos Pediatric Therapy PLLC

Speech-Language Pathologist, · El Paso, TX

NPI number1710462601
StatusActive
Last updated in NPPESJan 9, 2020

Details

NPI
1710462601
Entity type
Organization (NPI-2)
Legal business name
Abrazos Pediatric Therapy PLLC
Organization subpart
No
Enumeration date
Sep 26, 2018
Certification date
Jan 9, 2020
Last updated
Jan 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes
261Q00000X Clinic/Center––
261QH0700X Clinic/Center, Hearing and Speech––

Practice location

7144 Alameda Ave
El Paso, TX 79915-3502

Phone 915-990-8683 · Fax 915-444-5908

Mailing address

4849 N Mesa St Ste 201
El Paso, TX 79912-5919

Phone 915-351-6600

Authorized official

Ana L Martinez
President
9153516600

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