Provider Demographics
NPI:1043833767
Name:ALVARADO- ROBLES, MAUDI (HIS)
Entity type:Individual
Prefix:
First Name:MAUDI
Middle Name:
Last Name:ALVARADO- ROBLES
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3154 CHARYN WAY
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-0199
Mailing Address - Country:US
Mailing Address - Phone:830-624-5205
Mailing Address - Fax:
Practice Address - Street 1:1920 CORPORATE DR STE B205
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6287
Practice Address - Country:US
Practice Address - Phone:512-667-6904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81092237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist