Provider Demographics
NPI:1285288423
Name:ARQUITOLA, BIANCA TAHUAHUA
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:TAHUAHUA
Last Name:ARQUITOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3002 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-3929
Mailing Address - Country:US
Mailing Address - Phone:210-570-5101
Mailing Address - Fax:
Practice Address - Street 1:7254 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4990
Practice Address - Country:US
Practice Address - Phone:210-256-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist