Provider Demographics
NPI:1881993426
Name:CASA DE HABLA, PLLC
Entity type:Organization
Organization Name:CASA DE HABLA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZBETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:AGUERO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:832-264-0426
Mailing Address - Street 1:6315 BALLINA MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2605
Mailing Address - Country:US
Mailing Address - Phone:832-264-0426
Mailing Address - Fax:281-815-2010
Practice Address - Street 1:6315 BALLINA MEADOWS CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2605
Practice Address - Country:US
Practice Address - Phone:832-264-0426
Practice Address - Fax:281-815-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101936235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty