Individual
SUOMI LOPEZ GANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
5316 TRAIL LAKE DR, FORT WORTH, TX 76133-1931
(817) 292-8787
(817) 789-6849
Mailing address
745 VIA MIRAMONTE, MESQUITE, TX 75150-3055
(972) 686-3312
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
35232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
01/11/2010
Last updated
01/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us