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NPI Code Detail

MEDICARE: FELISA LOPEZ MARTINEZ SLP-A

MEDICARE: FELISA LOPEZ MARTINEZ SLP-A
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 Assistant39814TX

General Provider Information

NPI Number : 1245755438
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELISA LOPEZ MARTINEZ SLP-A
Provider Business Mailing Address
First Line : 404 RACQUET CLUB BLVD
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6408
Country : US
Telephone Number : 682-738-3056
Fax Number : 682-738-3272
Provider Business Practice Location Address
First Line : 3103 STRONG AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76105-3946
Country : US
Telephone Number : 817-404-9462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2017
Last Update Date : 08/08/2017

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Directions to “ FELISA LOPEZ MARTINEZ SLP-A” Practice Location

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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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