Provider Demographics
NPI:1710119714
Name:BURNIAS-ZAMORA, NORMA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:
Last Name:BURNIAS-ZAMORA
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 1:77 SANTA ISABEL BLVD APT P2
Mailing Address - Street 2:
Mailing Address - City:LAGUNA VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2551
Mailing Address - Country:US
Mailing Address - Phone:956-943-1611
Mailing Address - Fax:956-943-7708
Practice Address - Street 1:77 SANTA ISABEL BLVD APT P2
Practice Address - Street 2:
Practice Address - City:LAGUNA VISTA
Practice Address - State:TX
Practice Address - Zip Code:78578-2551
Practice Address - Country:US
Practice Address - Phone:956-943-1611
Practice Address - Fax:956-943-7708
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101719235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist