=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548072945
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SPEECH SOLUTIONS RGV, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2025
-----------------------------------------------------
Last Update Date | 01/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 SUGAR GROVE LN
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-9163
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-551-1531
-----------------------------------------------------
Fax | 956-518-7390
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 350 SUGAR GROVE LN
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78520-9163
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-551-1531
-----------------------------------------------------
Fax | 956-518-7390
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH PATHOLOGIST
-----------------------------------------------------
Name | MR. MOISES G SAAVEDRA
-----------------------------------------------------
Credential | CSCD
-----------------------------------------------------
Telephone | 956-551-1531
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------