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Individual

DIANA VEGA TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CF-SLP

Contact information

Practice address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111-2378
(682) 564-5476
(682) 292-2930
Mailing address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111-2378
(817) 422-7604

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116737
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116737
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
06/15/2020
Last updated
06/15/2020
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