Sara Pena
Individual provider Active NPI Speech-Language Assistant · Roma, TX
NPI 1477034452 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1477034452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 35918 (TX)
- Practice address
- 2885 E Grant St Ste B
Roma, TX 78584-8914 - Phone
- (956) 847-4055
- NPI assigned
- Aug 27, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35918 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 35918 | TX | Yes |
Addresses
Primary practice location
2885 E Grant St Ste B
Roma, TX 78584-8914
Mailing address
776 E Grant St
Roma, TX 78584-8091
Other providers in Roma, TX
- Nuestra Clinica del Valle Inc
- Nueva Esperanza Adult Day Care
- Liliana Maria Ortega
- Kariana Pena
- Keila Pena
- Leobardo Perez
- Performance Therapeutics - Roma PLLC
- Performance Therapeutics - Roma, P.L.L.C.
- Timothy K. Peterson
- R & R Starr Amigos LLC
All providers in Roma, TX · Speech-Language Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.