MEDICARE: SILVIA PARDO

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467270272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA PARDO

Provider Business Mailing Address
First Line	:	12526 GREENGLEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-7248
Country	:	US
Telephone Number	:	786-618-6364
Fax Number	:

Provider Business Practice Location Address
First Line	:	12526 GREENGLEN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-7248
Country	:	US
Telephone Number	:	786-618-6364
Fax Number	:

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

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	09/30/2024

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Directions to “ SILVIA PARDO ” Practice Location

Language	Start Address	Practice Location

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