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General NPI Number Information
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NPI Number | 1639457443
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Entity Type | Individual
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Provider Name | ARIEL D DELCUADRO SLP-CCC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | 425 E LOS EBANOS BLVD STE 109
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8482
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Country | US
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Telephone | 956-622-5059
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Fax | 956-554-0540
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Provider Business Mailing Address
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Address Line | 425 E LOS EBANOS BLVD STE 109
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8482
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Country | US
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Telephone | 956-622-5059
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Fax | 956-554-0540
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 106989
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License Number State | TX
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