Provider Demographics
NPI:1831553650
Name:ARRAS-BURCIAGA, ALEXANDREA ELISA
Entity type:Individual
Prefix:
First Name:ALEXANDREA
Middle Name:ELISA
Last Name:ARRAS-BURCIAGA
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 1:4700 N MESA ST
Mailing Address - Street 2:SUITE F-4
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6171
Mailing Address - Country:US
Mailing Address - Phone:915-704-1094
Mailing Address - Fax:915-533-3803
Practice Address - Street 1:4700 N MESA ST
Practice Address - Street 2:SUITE F-4
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6171
Practice Address - Country:US
Practice Address - Phone:915-704-1094
Practice Address - Fax:915-533-3803
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111594235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist