Most Relevant Information
Provider Data
| NPI Number: | 1003208893 |
| Provider Name: | JESSICA MEDRANO SLP ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 38885 |
Most Important Dates
| Enumeration Date: | 03/03/2015 |
| Last Updated: | 03/03/2015 |
Provider Practice Location
14515 BRIARHILLS PKWY STE 208
HOUSTON
TX
770771034
Practice Location Phone/Fax
| Phone: | 7135752000 |
| Fax: |
Provider Mailing Location
12 N CAPO ST
ROMA
TX
785848504
Provider Mailing Phone/Fax
| Phone: | 9564373806 |
| Fax: |