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NPI Code Detail

MEDICARE: SARA AGUILERA

MEDICARE: SARA AGUILERA
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
12355S0801XSpeech-Language Assistant36094TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103910OTHERTXLIC

General Provider Information

NPI Number : 1144623000
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA AGUILERA
Provider Business Mailing Address
First Line : 225 MESQUITE DR
Second Line :
City : LAGUNA VISTA
State : TX
Zip : 78578-2708
Country : US
Telephone Number : 956-607-8329
Fax Number :
Provider Business Practice Location Address
First Line : 225 MESQUITE DR
Second Line :
City : LAGUNA VISTA
State : TX
Zip : 78578-2708
Country : US
Telephone Number : 956-607-8329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 10/06/2014

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Directions to “ SARA AGUILERA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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