Alba, Audrey Renee
Alba, Audrey Renee is an sole proprietor health care provider with primary practice located at 2150 Trawood Dr Ste A100 , El Paso TX 79935-3383. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Alba, Audrey Renee can be contacted via phone (915) 333-0200.Contact Information
Primary practice address
2150 Trawood Dr Ste A100
El Paso TX 79935-3383
Phone: (915) 333-0200
Fax: (915) 792-0576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 36872 | Texas |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 111433 | Texas |
Profile Details
| NPI number | 1306101258 |
|---|---|
| LBN Legal business name | Alba, Audrey Renee |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2012 |
| Last updated | Feb 3rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306101258 | NPPES |
| Texas | MEDICAID | 149984001 | |
| Texas | MEDICAID | 207164901 |
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