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: |