Jaime Greishaw

Individual provider Active NPI Speech-Language Pathologist · Zapata, TX

NPI 1174879910 · NPPES record last updated Jul 30, 2012

Key facts

NPI
1174879910
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
107427 (TX)
Practice address
183 Vista Hermosa
Zapata, TX 78076-4601
Phone
(956) 754-0625
NPI assigned
Jul 30, 2012
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
107427TXMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 107427 TX Yes

Addresses

Primary practice location

183 Vista Hermosa
Zapata, TX 78076-4601

Mailing address

183 Vista Hermosa
Zapata, TX 78076-4601

Other providers in Zapata, TX

All providers in Zapata, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.