Healthcare Provider Details

I. General information

NPI: 1801506761
Provider Name (Legal Business Name): RGV SPEECH PATHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 BLUEBIRD AVE
MCALLEN TX
78504-4775
US

IV. Provider business mailing address

2704 BLUEBIRD AVE
MCALLEN TX
78504-4775
US

V. Phone/Fax

Practice location:
  • Phone: 956-884-1821
  • Fax: 956-265-1112
Mailing address:
  • Phone: 956-884-1821
  • Fax: 956-265-1112

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: ANN MONIQUE AREBALO
Title or Position: OWNER
Credential: SLP
Phone: 956-844-1821