MEDICARE: MR. MOISES GONZALO SAAVEDRA MS

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
1	235Z00000X	Speech-Language Pathologist	110512	TX

General Provider Information

NPI Number	:	1396154100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOISES GONZALO SAAVEDRA MS

Provider Business Mailing Address
First Line	:	5584 GARDEN VIEW CT
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-9677
Country	:	US
Telephone Number	:	956-551-1531
Fax Number	:

Provider Business Practice Location Address
First Line	:	5584 GARDEN VIEW CT
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-9677
Country	:	US
Telephone Number	:	956-551-1531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	01/22/2025

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Directions to “ MR. MOISES GONZALO SAAVEDRA MS” Practice Location

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