MEDICARE: ESTEFANIA DELGADO

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	2355S0801X	Speech-Language Assistant	41190	TX

General Provider Information

NPI Number	:	1649824988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTEFANIA DELGADO

Provider Business Mailing Address
First Line	:	6706 LAWNDALE ST APT 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-2427
Country	:	US
Telephone Number	:	832-600-6945
Fax Number	:

Provider Business Practice Location Address
First Line	:	6706 LAWNDALE ST APT 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-2427
Country	:	US
Telephone Number	:	832-600-6945
Fax Number	:

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

Provider Enumeration Date	:	07/25/2019
Last Update Date	:	08/29/2019

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Directions to “ ESTEFANIA DELGADO ” Practice Location

Language	Start Address	Practice Location

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