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NPI Code Detail

MEDICARE: PILAR CORDOBA M.S. CCC-SLP

MEDICARE: PILAR CORDOBA M.S. CCC-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 Pathologist103511TX

General Provider Information

NPI Number : 1861766792
Entity Type Code : Individual
Provider Name (Legal Business Name) : PILAR CORDOBA M.S. CCC-SLP
Provider Business Mailing Address
First Line : 9900 WESTPARK DR STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77063-5278
Country : US
Telephone Number : 713-528-3030
Fax Number :
Provider Business Practice Location Address
First Line : 9900 WESTPARK DR STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77063-5278
Country : US
Telephone Number : 713-528-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2012
Last Update Date : 02/23/2012

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Directions to “ PILAR CORDOBA M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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