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NPI Code Detail

MEDICARE: KATHERINE MAILANI TIMBREZA-GARZA SLP

MEDICARE: KATHERINE MAILANI TIMBREZA-GARZA 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 Pathologist110486TX

General Provider Information

NPI Number : 1821562547
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MAILANI TIMBREZA-GARZA SLP
Provider Business Mailing Address
First Line : 4601 HONDO PASS DR STE A
Second Line :
City : EL PASO
State : TX
Zip : 79904-1457
Country : US
Telephone Number : 915-545-3422
Fax Number :
Provider Business Practice Location Address
First Line : 4601 HONDO PASS DR STE A
Second Line :
City : EL PASO
State : TX
Zip : 79904-1457
Country : US
Telephone Number : 915-545-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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Directions to “ KATHERINE MAILANI TIMBREZA-GARZA SLP” Practice Location

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