Provider Demographics
NPI:1134792112
Name:VENTURA, MARGARITA OLGA (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:OLGA
Last Name:VENTURA
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 1:2437 DEACON DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4068
Mailing Address - Country:US
Mailing Address - Phone:214-226-9236
Mailing Address - Fax:
Practice Address - Street 1:2437 DEACON DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4068
Practice Address - Country:US
Practice Address - Phone:214-226-9236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113974235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist