Provider Demographics
NPI:1740984392
Name:RODRIGUEZ QUIROGA, DARIELA
Entity type:Individual
Prefix:
First Name:DARIELA
Middle Name:
Last Name:RODRIGUEZ QUIROGA
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 1:7617 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:HITCHCOCK
Mailing Address - State:TX
Mailing Address - Zip Code:77563-3539
Mailing Address - Country:US
Mailing Address - Phone:409-256-0248
Mailing Address - Fax:
Practice Address - Street 1:14651 DALLAS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8856
Practice Address - Country:US
Practice Address - Phone:214-575-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX430832355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant