Healthcare Provider Details

I. General information

NPI: 1255780110
Provider Name (Legal Business Name): LAUREN M GARCIA M.S. , CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 08/19/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 MONTANA AVE STE G&H
EL PASO TX
79925-2155
US

IV. Provider business mailing address

305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200
HURST TX
76053
US

V. Phone/Fax

Practice location:
  • Phone: 915-838-7604
  • Fax: 915-772-4633
Mailing address:
  • Phone: 817-292-8787
  • Fax: 817-789-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number118829
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: