Facha, Mara

Facha, Mara is an individual health care provider with primary practice located at 9514 Console Dr Ste 102 , San Antonio TX 78229-2042. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Facha, Mara can be contacted via phone (210) 448-9111.

Contact Information

Primary practice address
9514 Console Dr Ste 102 San Antonio TX 78229-2042
Fax: (210) 340-1259
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 118276 Texas

Profile Details

NPI number 1366929341
LBN Legal business name Facha, Mara
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Jan 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366929341 NPPES
Texas MEDICAID 173913801

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