Most Relevant Information
Provider Data
NPI Number: | 1003536038 |
Provider Name: | ANDREA MOG SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 111891 |
Most Important Dates
Enumeration Date: | 08/30/2022 |
Last Updated: | 11/17/2022 |
Provider Practice Location
3201 CHERRY RIDGE DR STE C323
SAN ANTONIO
TX
782304831
Practice Location Phone/Fax
Phone: | 2103491415 |
Fax: |
Provider Mailing Location
3201 CHERRY RIDGE DR STE C323
SAN ANTONIO
TX
782304831
Provider Mailing Phone/Fax
Phone: | 2103491415 |
Fax: |