MEDICARE: CAROLINE FABELA

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1548415318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE FABELA

Provider Business Mailing Address
First Line	:	2020 TEXAS ST
Second Line	:	1230
City	:	HOUSTON
State	:	TX
Zip	:	77003-3045
Country	:	US
Telephone Number	:	713-876-2984
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 TEXAS ST
Second Line	:	1230
City	:	HOUSTON
State	:	TX
Zip	:	77003-3045
Country	:	US
Telephone Number	:	713-876-2984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	07/10/2010

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Directions to “ CAROLINE FABELA ” Practice Location

Language	Start Address	Practice Location

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