Jacqueline Aguilar

Individual provider Active NPI Speech-Language Assistant · Roma, TX

NPI 1124521398 · NPPES record last updated Mar 14, 2018

Key facts

NPI
1124521398
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
40306 (TX)
Practice address
700 E Bravo Blvd Ste D
Roma, TX 78584-5741
Phone
(956) 849-1818
Fax
(956) 849-1822
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40306TXMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 40306 TX Yes

Addresses

Primary practice location

700 E Bravo Blvd Ste D
Roma, TX 78584-5741

Mailing address

700 E Bravo Blvd Ste D
Roma, TX 78584-5741
Phone (956) 849-1818

Other providers in Roma, TX

All providers in Roma, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.