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NPI Code Detail

MEDICARE: MRS. FABIOLA FLORES CABEZA MS, CC-SLP

MEDICARE: MRS. FABIOLA FLORES CABEZA MS, CC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist100591TX

General Provider Information

NPI Number : 1063720688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FABIOLA FLORES CABEZA MS, CC-SLP
Provider Business Mailing Address
First Line : 6550 SPRINFIELD AVE
Second Line : SUITE 101
City : LAREDO
State : TX
Zip : 78041-6712
Country : US
Telephone Number : 956-725-4555
Fax Number : 956-725-3555
Provider Business Practice Location Address
First Line : 6550 SPRINGFIELD AVE
Second Line : SUITE 101
City : LAREDO
State : TX
Zip : 78041-6712
Country : US
Telephone Number : 956-725-4555
Fax Number : 956-725-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 09/16/2010

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Directions to “ MRS. FABIOLA FLORES CABEZA MS, CC-SLP” Practice Location

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