MEDICARE: REILEIGH TURRO

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	118385	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	118385	OTHER	TX	SPEECH LANGUAGE PATHOLOGIST - INTERN

General Provider Information

NPI Number	:	1508436593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REILEIGH TURRO

Provider Business Mailing Address
First Line	:	1201 S INTERSTATE 35 STE 105
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6646
Country	:	US
Telephone Number	:	512-310-7665
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 S INTERSTATE 35 STE 105
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78664-6646
Country	:	US
Telephone Number	:	512-310-7665
Fax Number	:	512-310-9228

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

Provider Enumeration Date	:	06/30/2021
Last Update Date	:	06/30/2021

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Directions to “ REILEIGH TURRO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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