MEDICARE: VALERIA HOLGUIN

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	121041	TX

General Provider Information

NPI Number	:	1588419378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA HOLGUIN

Provider Business Mailing Address
First Line	:	240 DESERT PASS ST APT 2406
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-3629
Country	:	US
Telephone Number	:	915-346-4869
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 N ZARAGOZA RD STE 108
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4656
Country	:	US
Telephone Number	:	915-346-4869
Fax Number	:

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

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	04/23/2024

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Directions to “ VALERIA HOLGUIN ” Practice Location

Language	Start Address	Practice Location

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