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NPI Code Detail

MEDICARE: PAMELA GOBLE SLP

MEDICARE: PAMELA GOBLE 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 Pathologist101646TX

General Provider Information

NPI Number : 1568407369
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA GOBLE SLP
Provider Business Mailing Address
First Line : 3031 IH 10 W
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-5159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 227 W DREXEL AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78210-2912
Country : US
Telephone Number : 210-731-1300
Fax Number : 210-738-8025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2006
Last Update Date : 07/08/2007

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Directions to “ PAMELA GOBLE SLP” 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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