Healthcare Provider Details

I. General information

NPI: 1164897195
Provider Name (Legal Business Name): NORMA CUEVAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 E RIVERSIDE DR SUITE B1
AUSTIN TX
78741-3083
US

IV. Provider business mailing address

305 NE LOOP 820 TOWER1, SUITE 200
HURST TX
76053-7209
US

V. Phone/Fax

Practice location:
  • Phone: 512-394-0652
  • Fax:
Mailing address:
  • Phone: 817-292-8787
  • Fax: 817-789-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: