Healthcare Provider Details

I. General information

NPI: 1053813659
Provider Name (Legal Business Name): ALEJANDRA REYES B.S. SLP ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14950 HEATHROW FOREST PKWY STE 250
HOUSTON TX
77032-3845
US

IV. Provider business mailing address

7105 OLD KATY RD APT 3234
HOUSTON TX
77024-2161
US

V. Phone/Fax

Practice location:
  • Phone: 281-921-2301
  • Fax:
Mailing address:
  • Phone: 956-358-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number38121
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: