Tina Enriquez

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

NPI 1861114241 · NPPES record last updated Sep 13, 2022

Key facts

NPI
1861114241
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
11535 Pearsall Rd
Elm Creek Elementary
Atascosa, TX 78002
Phone
(210) 622-4300
NPI assigned
Sep 13, 2022
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

Specialties & licenses

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

Addresses

Primary practice location

11535 Pearsall Rd
Elm Creek Elementary
Atascosa, TX 78002

Mailing address

11914 Dragon Lane
Special Education Office
San Antonio, TX 78252
Phone (210) 622-4300

Other providers in Atascosa, TX

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

Sources for this page

Verify at the official NPI Registry.