Provider Demographics
NPI:1437290681
Name:MEDINA, ANA BEATRIZ (SLP ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:MEDINA
Suffix:
Gender:F
Credentials:SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5751 BYLTHEWOOD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-5401
Mailing Address - Country:US
Mailing Address - Phone:713-741-5800
Mailing Address - Fax:713-741-5805
Practice Address - Street 1:5751 BYLTHEWOOD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5401
Practice Address - Country:US
Practice Address - Phone:713-741-5800
Practice Address - Fax:713-741-5805
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX338922355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant