Healthcare Provider Details

I. General information

NPI: 1932417672
Provider Name (Legal Business Name): CRISTINA MARIA VALLEJO-ALALI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 08/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4544 POST OAK PLACE SUITE 380
HOUSTON TX
77027
US

IV. Provider business mailing address

4544 POST OAK PLACE SUITE 380
HOUSTON TX
77027
US

V. Phone/Fax

Practice location:
  • Phone: 713-255-0035
  • Fax: 713-255-0039
Mailing address:
  • Phone: 713-255-0035
  • Fax: 713-255-0039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80236
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number80236
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number80236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: