Healthcare Provider Details

I. General information

NPI: 1598976706
Provider Name (Legal Business Name): PRIMARY SPEECH & LANGUAGE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14470 HORIZON BLVD STE J
HORIZON CITY TX
79928-8554
US

IV. Provider business mailing address

14470 HORIZON BLVD STE J
HORIZON CITY TX
79928-8554
US

V. Phone/Fax

Practice location:
  • Phone: 915-592-8084
  • Fax: 915-592-8357
Mailing address:
  • Phone: 915-592-8084
  • Fax: 915-592-8357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number17256
License Number StateTX

VIII. Authorized Official

Name: ROSA RAMOS-SCOTT
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 915-592-8084