Vivar, Alexandra Michelle
Vivar, Alexandra Michelle is an sole proprietor health care provider with primary practice located at 1600 Airport Fwy Ste 372 , Bedford TX 76022-6873. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Vivar, Alexandra Michelle can be contacted via phone (817) 595-2955.Contact Information
Primary practice address
1600 Airport Fwy Ste 372
Bedford TX 76022-6873
Phone: (817) 595-2955
Fax: (817) 595-5764
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 37646 | Texas |
Profile Details
NPI number | 1861993891 |
---|---|
LBN Legal business name | Vivar, Alexandra Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2018 |
Last updated | Feb 25th, 2018 - about 6 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 | 1861993891 | NPPES |
Texas | MEDICAID | 37646 |
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