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NPI Code Detail

MEDICARE: LAURA DENISE GARCIA SLP

MEDICARE:   LAURA DENISE GARCIA  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist107314TX

General Provider Information

NPI Number : 1538430061
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DENISE GARCIA SLP
Provider Business Mailing Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Provider Business Practice Location Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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Directions to “ LAURA DENISE GARCIA SLP” Practice Location

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