Provider Demographics
NPI:1366848194
Name:DIAZ, ASRANI (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:ASRANI
Middle Name:
Last Name:DIAZ
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:ASRANI
Other - Middle Name:
Other - Last Name:NARINESINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC SLP
Mailing Address - Street 1:115 RUGER PATH
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3959
Mailing Address - Country:US
Mailing Address - Phone:830-302-9266
Mailing Address - Fax:830-201-1196
Practice Address - Street 1:115 RUGER PATH
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3959
Practice Address - Country:US
Practice Address - Phone:830-302-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109624235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist