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NPI Code Detail

MEDICARE: SONRISAS THERAPIES- PEDIATRIC HOME AND HEALTHCARE SERVICES, LLC.

MEDICARE: SONRISAS THERAPIES- PEDIATRIC HOME AND HEALTHCARE SERVICES, LLC.
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
1251E00000XHome Health Agency014142TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285932319
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONRISAS THERAPIES- PEDIATRIC HOME AND HEALTHCARE SERVICES, LLC.
Provider Business Mailing Address
First Line : 2100 E MARTIN LUTHER KING JR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78702-1342
Country : US
Telephone Number : 512-900-7934
Fax Number : 512-900-7954
Provider Business Practice Location Address
First Line : 2100 E MARTIN LUTHER KING JR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78702-1342
Country : US
Telephone Number : 512-900-7934
Fax Number : 512-900-7954
Authorized Official
Title or Position : ALTERNATE ADMINISTRATOR
Name : MS. TSAMBIKA BAKIRIS
Credential : MS, CCC-SLP
Telephone Number : 512-900-7934
Provider Enumeration Date : 03/15/2011
Last Update Date : 05/13/2015

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Directions to “SONRISAS THERAPIES- PEDIATRIC HOME AND HEALTHCARE SERVICES, LLC. ” 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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