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NPI Code Detail

MEDICARE: AIDEE GARCIA-CASTRO M.A. CCC/SLP

MEDICARE: AIDEE GARCIA-CASTRO M.A. CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist18099TX

General Provider Information

NPI Number : 1235430968
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIDEE GARCIA-CASTRO M.A. CCC/SLP
Provider Business Mailing Address
First Line : 3511 N WARE RD
Second Line :
City : MCALLEN
State : TX
Zip : 78501-3370
Country : US
Telephone Number : 956-681-7486
Fax Number :
Provider Business Practice Location Address
First Line : 3511 N WARE RD
Second Line :
City : MCALLEN
State : TX
Zip : 78501-3370
Country : US
Telephone Number : 956-681-7486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2010
Last Update Date : 11/11/2010

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