Provider Demographics
NPI:1285234971
Name:RODRIGUEZ FEBUS, HILARY (MS CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:HILARY
Middle Name:
Last Name:RODRIGUEZ FEBUS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3426 YALE ST
Mailing Address - Street 2:BSL 111-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018
Mailing Address - Country:US
Mailing Address - Phone:787-376-2899
Mailing Address - Fax:
Practice Address - Street 1:1 HERMANN PARK CT APT 111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2273
Practice Address - Country:US
Practice Address - Phone:787-376-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115986235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX44949937Medicaid