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NPI Code Detail

MEDICARE: REBECCA ABREGO

MEDICARE:   REBECCA  ABREGO
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 Pathologist100712TX

General Provider Information

NPI Number : 1952594657
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ABREGO
Provider Business Mailing Address
First Line : 101 GRAND CHASE DR
Second Line :
City : NEDERLAND
State : TX
Zip : 77627-4868
Country : US
Telephone Number : 409-540-4465
Fax Number : 409-729-1500
Provider Business Practice Location Address
First Line : 2501 JIMMY JOHNSON BLVD STE 405
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2013
Country : US
Telephone Number : 409-540-4465
Fax Number : 409-729-1500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2007
Last Update Date : 08/25/2007

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Directions to “ REBECCA ABREGO ” Practice Location

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