Individual
ANDREA FAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 S IH 35, AUSTIN, TX 78704-7420
(512) 414-7733
Mailing address
1306 YORKSHIRE LN, ROUND ROCK, TX 78664-3304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TX
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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