Provider Demographics
NPI:1326214321
Name:FIGUEROA, IRENE GABRIAL
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:GABRIAL
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:45 NE LOOP 410
Mailing Address - Street 2:SUITE 690
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5832
Mailing Address - Country:US
Mailing Address - Phone:210-457-2000
Mailing Address - Fax:210-457-2004
Practice Address - Street 1:45 NE LOOP 410
Practice Address - Street 2:SUITE 690
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5832
Practice Address - Country:US
Practice Address - Phone:210-457-2000
Practice Address - Fax:210-457-2004
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100940235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist