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NPI Code Detail

MEDICARE: GLADYS A RODRIGUEZ M.S. CCC-SLP

MEDICARE:   GLADYS A RODRIGUEZ  M.S. 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
12355S0801XSpeech-Language Assistant43409TX
2235Z00000XSpeech-Language Pathologist123924TX

General Provider Information

NPI Number : 1326823410
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS A RODRIGUEZ M.S. CCC-SLP
Provider Business Mailing Address
First Line : 2110 LOMAS DEL SUR STE 114
Second Line :
City : LAREDO
State : TX
Zip : 78046-5751
Country : US
Telephone Number : 956-712-9111
Fax Number :
Provider Business Practice Location Address
First Line : 2110 LOMAS DEL SUR STE 114
Second Line :
City : LAREDO
State : TX
Zip : 78046-5751
Country : US
Telephone Number : 956-712-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 06/02/2026

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Directions to “ GLADYS A RODRIGUEZ M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
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