Vivar, Alexandra Michelle

Vivar, Alexandra Michelle is an sole proprietor health care provider with primary practice located at 1600 Airport Fwy Ste 372 , Bedford TX 76022-6873. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Vivar, Alexandra Michelle can be contacted via phone (817) 595-2955.

Contact Information

Primary practice address
1600 Airport Fwy Ste 372 Bedford TX 76022-6873
Phone: (817) 595-2955
Fax: (817) 595-5764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 37646 Texas

Profile Details

NPI number 1861993891
LBN Legal business name Vivar, Alexandra Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2018
Last updated Feb 25th, 2018 - about 8 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 1861993891 NPPES
Texas MEDICAID 37646

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