MEDICARE: MRS. TERESA PIQUEALGAZE ESPINOZA LCSW

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	1041C0700X	Clinical Social Worker	03495	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1588791198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERESA PIQUEALGAZE ESPINOZA LCSW

Provider Business Mailing Address
First Line	:	5800 RANCHESTER
Second Line	:	SUITE #142
City	:	HOUSTON
State	:	TX
Zip	:	77036-2440
Country	:	US
Telephone Number	:	713-271-8430
Fax Number	:	713-271-3228

Provider Business Practice Location Address
First Line	:	5800 RANCHESTER
Second Line	:	SUITE #142
City	:	HOUSTON
State	:	TX
Zip	:	77036-2440
Country	:	US
Telephone Number	:	713-271-8430
Fax Number	:	713-271-3228

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	03/01/2010

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