MEDICARE: BRENDA CRISTINA FIGUEROA 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
1	235Z00000X	Speech-Language Pathologist	104626	TX

General Provider Information

NPI Number	:	1790019214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA CRISTINA FIGUEROA SLP

Provider Business Mailing Address
First Line	:	2514 GOLFCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-7020
Country	:	US
Telephone Number	:	713-859-5221
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 GOLFCREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-7020
Country	:	US
Telephone Number	:	713-859-5221
Fax Number	:

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

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	08/10/2021

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