Provider Demographics
NPI:1295886901
Name:AGUILAR, ANA CHRISTINA (SLP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:CHRISTINA
Last Name:AGUILAR
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 1:302 PAULINE AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-2430
Mailing Address - Country:US
Mailing Address - Phone:830-469-6560
Mailing Address - Fax:325-653-0036
Practice Address - Street 1:302 PAULINE AVE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-2430
Practice Address - Country:US
Practice Address - Phone:830-469-6560
Practice Address - Fax:325-653-0036
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24745235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist