Elizabeth Aguilar-Desiderio

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108318 Issued in TX

Practice address

87 Interstate 10 N Ste 225
Beaumont, TX 77707-2549

Phone

(409) 835-0228

Fax

(409) 835-0151

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1689088213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 OLD DOWLEN RD APT 421",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 INTERSTATE 10 N STE 225",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072549",
            "telephone_number": "409-835-0228",
            "fax_number": "409-835-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR-DESIDERIO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108318",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afo Lab
• Busola Joy Afolayan, PHARMD
• Muhammad Sohaib Afridi, M.D.
• Usama Afzaal, MD
• Dennis Agricola, NP
• Lindsey Aguillard, APRN, FNP-C
• Anthony Aguinaga, PHARMD.
• Jennifer Aguirre
• Maryann Annette Agwanihu
• Abdul Ahad, M.D.

• Speech-Language Pathologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.