Baldazo, Jessica Renee

Baldazo, Jessica Renee is an sole proprietor health care provider with primary practice located at 4004 N Jackson Rd , Pharr TX 78577-4962. 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. Baldazo, Jessica Renee can be contacted via phone (956) 283-6353.

Contact Information

Primary practice address
4004 N Jackson Rd Pharr TX 78577-4962
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 102444 Texas

Profile Details

NPI number 1497877831
LBN Legal business name Baldazo, Jessica Renee
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2007
Last updated Nov 2nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497877831 NPPES
Texas Other 102444 TX STATE BOARD ST

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