Ms Diane Damitio, | |
2716 Barton Creek Blvd Apt 713, Austin, TX 78735-1671 | |
(703) 508-8838 | |
Not Available |
Full Name | Ms Diane Damitio |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2716 Barton Creek Blvd Apt 713, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548915234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 119109 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane Damitio, 2716 Barton Creek Blvd Apt 713, Austin, TX 78735-1671 Ph: (703) 508-8838 | Ms Diane Damitio, 2716 Barton Creek Blvd Apt 713, Austin, TX 78735-1671 Ph: (703) 508-8838 |
Andrea K Hughes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6660 Ruxton Ln, Austin, TX 78749 Phone: 512-593-1530 | |
Erin Venza, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12007 N Lamar Blvd, Apt #1114, Austin, TX 78753 Phone: 214-587-1604 | |
Noreen Tsai, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 E Martin Luther King Jr Blvd, Austin, TX 78702 Phone: 512-900-7934 | |
Mrs. Renee Amanda Cavazos, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Riddle Rd, Austin, TX 78748 Phone: 512-233-4000 | |
Lauren Van Orden, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12221 N Mopac Expy, Austin, TX 78758 Phone: 512-901-6481 | |
Andrea Hughes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12708 Riata Vista Cir Ste A106, Austin, TX 78727 Phone: 512-795-2422 | |
Ashley Ruthven, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4100 Jackson Ave, Austin, TX 78731 Phone: 512-454-4711 |