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NPI Code Detail

MEDICARE: ANGELA MARTIN SLP-ASSISTANT

MEDICARE: ANGELA MARTIN SLP-ASSISTANT
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
12355S0801XSpeech-Language Assistant37897TX

General Provider Information

NPI Number : 1508279480
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARTIN SLP-ASSISTANT
Provider Business Mailing Address
First Line : 6211 MEADOWMERE LN
Second Line :
City : ARLINGTON
State : TX
Zip : 76001-6544
Country : US
Telephone Number : 817-525-5522
Fax Number :
Provider Business Practice Location Address
First Line : 4775 NORTH FWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number : 682-738-3056
Fax Number : 682-738-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2014
Last Update Date : 09/13/2023

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Directions to “ ANGELA MARTIN SLP-ASSISTANT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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