Healthcare Provider Details

I. General information

NPI: 1790393312
Provider Name (Legal Business Name): ANDREA F URIZA HOHMANN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANDREA F URIZA

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 08/03/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 AUSTIN HWY STE 210
SAN ANTONIO TX
78209-4867
US

IV. Provider business mailing address

102 PALO ALTO RD STE 120
SAN ANTONIO TX
78211-3773
US

V. Phone/Fax

Practice location:
  • Phone: 210-646-8008
  • Fax:
Mailing address:
  • Phone: 210-922-1785
  • Fax: 210-922-1782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number119236
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: