Provider Demographics
NPI:1528712254
Name:TAMEZ, MARTHA C (SLP ASSISTANT)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:C
Last Name:TAMEZ
Suffix:
Gender:F
Credentials:SLP ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3444
Mailing Address - Country:US
Mailing Address - Phone:956-467-6082
Mailing Address - Fax:
Practice Address - Street 1:4301 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3008
Practice Address - Country:US
Practice Address - Phone:956-687-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant