Provider Demographics
NPI:1093120461
Name:ARRIAZOLA FLORES, NADIA (SLP)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:ARRIAZOLA FLORES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 N MESA ST STE C2
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-4555
Mailing Address - Country:US
Mailing Address - Phone:915-222-8880
Mailing Address - Fax:915-207-1435
Practice Address - Street 1:6310 N MESA ST STE C2
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4555
Practice Address - Country:US
Practice Address - Phone:915-222-8880
Practice Address - Fax:915-207-1435
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110243OtherLICENSE