Individual
ANISSA NICOLE RUBALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 E INTERSTATE 2 STE K, PHARR, TX 78577-6505
(956) 588-4060
(956) 588-4050
Mailing address
216 E INTERSTATE 2 STE K, PHARR, TX 78577-6505
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37720
—
TX
Enumeration date
08/17/2018
Last updated
08/17/2018
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