Healthcare Provider Details

I. General information

NPI: 1427882455
Provider Name (Legal Business Name): RGV SPEECH THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2024
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 LERMA DR
EDINBURG TX
78539-4756
US

IV. Provider business mailing address

3210 LERMA DR
EDINBURG TX
78539-4756
US

V. Phone/Fax

Practice location:
  • Phone: 956-353-7911
  • Fax: 956-587-0245
Mailing address:
  • Phone: 956-353-7911
  • Fax: 956-587-0245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JOSE A GUERRA
Title or Position: OWNER
Credential:
Phone: 956-353-7911