Healthcare Provider Details

I. General information

NPI: 1144851239
Provider Name (Legal Business Name): ANDREA YEPES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 E UNIVERSITY AVE
GEORGETOWN TX
78626-6826
US

IV. Provider business mailing address

18609 MORETO LOOP
PFLUGERVILLE TX
78660-5629
US

V. Phone/Fax

Practice location:
  • Phone: 512-943-5000
  • Fax:
Mailing address:
  • Phone: 512-826-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number116495
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: