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NPI Code Detail

MEDICARE: ALEXANDRA JANIS GONZALEZ PARRILLA SLP

MEDICARE: ALEXANDRA JANIS GONZALEZ PARRILLA 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 Pathologist121989TX

General Provider Information

NPI Number : 1194696245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA JANIS GONZALEZ PARRILLA SLP
Provider Business Mailing Address
First Line : 9500 RAY WHITE RD STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-9105
Country : US
Telephone Number : 682-345-9821
Fax Number :
Provider Business Practice Location Address
First Line : 15912 MEDLEY LN
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-1558
Country : US
Telephone Number : 626-723-7462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2025
Last Update Date : 06/24/2026

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Directions to “ ALEXANDRA JANIS GONZALEZ PARRILLA SLP” Practice Location

Language Start Address Practice Location
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