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NPI Code Detail

MEDICARE: ROCIO MARIBEL DOMINGUEZ M.S., CF-SLP

MEDICARE:   ROCIO MARIBEL DOMINGUEZ  M.S., CF-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 Pathologist121793TX

General Provider Information

NPI Number : 1437936531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROCIO MARIBEL DOMINGUEZ M.S., CF-SLP
Provider Business Mailing Address
First Line : 1351 E BARDIN RD STE 160
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-2137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1351 E BARDIN RD STE 160
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-2137
Country : US
Telephone Number : 817-795-1291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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Directions to “ ROCIO MARIBEL DOMINGUEZ M.S., CF-SLP” Practice Location

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