Individual
MISS ALEXANDRA MICHELLE VIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 AIRPORT FWY STE 372, BEDFORD, TX 76022-6873
(817) 595-2955
(817) 595-5764
Mailing address
1600 AIRPORT FWY STE 372, BEDFORD, TX 76022-6873
(817) 595-2955
(817) 595-5764
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
37646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37646
—
TX
Enumeration date
02/25/2018
Last updated
02/25/2018
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