Individual provider · Type 1 NPI
Suomi Lopez Gandara, SLP-A
Audiology Assistant · Fort Worth, TX
NPI number
1295065480
Active
Practice location
5316 Trail Lake Dr
Fort Worth, TX 76133-1931
Fax (817) 789-6849
Mailing address
745 Via Miramonte
Mesquite, TX 75150-3055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiology Assistant Primary | 2355A2700X | 35232 (TX) |
Audiology Assistant: Definition to come...
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About NPI 1295065480
Suomi Lopez Gandara, SLP-A's National Provider Identifier is 1295065480, issued on Jan 11, 2010. The primary taxonomy on file is Audiology Assistant (2355A2700X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 11, 2010.