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NPI Code Detail

MEDICARE: MRS. EVA MARIN SLP

MEDICARE: MRS. EVA MARIN SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist106140TX

General Provider Information

NPI Number : 1033403654
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVA MARIN SLP
Provider Business Mailing Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Provider Business Practice Location Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 12/06/2022

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Directions to “ MRS. EVA MARIN SLP” Practice Location

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