Provider Demographics
NPI:1548415318
Name:FABELA, CAROLINE
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:FABELA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 TEXAS ST
Mailing Address - Street 2:1230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-3045
Mailing Address - Country:US
Mailing Address - Phone:713-876-2984
Mailing Address - Fax:
Practice Address - Street 1:2020 TEXAS ST
Practice Address - Street 2:1230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-3045
Practice Address - Country:US
Practice Address - Phone:713-876-2984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist