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NPI Code Detail

MEDICARE: LILIANA SALGADO SLPA

MEDICARE:   LILIANA  SALGADO  SLPA
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 Assistant33448TX

General Provider Information

NPI Number : 1568665024
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA SALGADO SLPA
Provider Business Mailing Address
First Line : 3800 EL CAMPO AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-4515
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3800 EL CAMPO AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-4515
Country : US
Telephone Number : 817-731-6898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 07/08/2007

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Directions to “ LILIANA SALGADO SLPA” Practice Location

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