MEDICARE: VALERIE CARCASSES

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1275014219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE CARCASSES

Provider Business Mailing Address
First Line	:	1003 BECKETT STE 201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1372
Country	:	US
Telephone Number	:	210-998-2330
Fax Number	:

Provider Business Practice Location Address
First Line	:	2590 OAKMONT DR STE 420
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-1038
Country	:	US
Telephone Number	:	732-770-7458
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2018
Last Update Date	:	08/28/2018

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Directions to “ VALERIE CARCASSES ” Practice Location

Language	Start Address	Practice Location

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