Individual
ALEXA MEHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2632 BROADWAY ST # 102, SAN ANTONIO, TX 78215-1137
(210) 451-0373
Mailing address
327 W SUNSET RD APT 2342, SAN ANTONIO, TX 78209-1759
(305) 336-5805
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14100043
ASHA
—
01
—
81258
TDLR
TX
Enumeration date
06/15/2021
Last updated
06/15/2021
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