MEDICARE: ANA MARIACABEZAS, PLLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1134897796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANA MARIACABEZAS, PLLC

Provider Business Mailing Address
First Line	:	8700 MENCHACA RD STE 205
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5373
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 MENCHACA RD STE 205
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-5373
Country	:	US
Telephone Number	:	512-264-5558
Fax Number	:

Authorized Official
Title or Position	:	MANGING MEMBER
Name	:	ANA MARIA CABEZAS
Credential	:
Telephone Number	:	512-264-5558

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	08/31/2021

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