Individual
EMMA JOANNA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 AGNES ST APT D, DALLAS, TX 75210-3016
(956) 999-2138
Mailing address
3704 AGNES ST APT D, DALLAS, TX 75210-3016
(956) 999-2138
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120085901
MEDICAID
TX
Enumeration date
09/21/2023
Last updated
09/21/2023
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