MEDICARE: SOUTH TEXAS DIRECT KIDS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1881347441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS DIRECT KIDS LLC

Provider Business Mailing Address
First Line	:	1405 JACAMAN RD STE 106
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6225
Country	:	US
Telephone Number	:	956-602-1390
Fax Number	:	956-602-1392

Provider Business Practice Location Address
First Line	:	1405 JACAMAN RD STE 106
Second Line	:
City	:	LAREDO
State	:	TX
Zip	:	78041-6225
Country	:	US
Telephone Number	:	956-608-3050
Fax Number	:	956-608-3097

Authorized Official
Title or Position	:	OWNER
Name	:	VIRGILIO VAZQUEZ GARCIA
Credential	:	SLP-CCC
Telephone Number	:	956-324-9014

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	03/24/2023

Similar Medicare Providers

1447195870 — CLARA GUADALUPE PEREZ FNP-C, APRN
Practice Location Address:

1405 JACAMAN RD STE 102
LAREDO, TX
78041-6225

Practice Phone: 956-932-9262
Practice Fax:

1871876011 — DR. OLAYINKA OMOWUNMI HOLT MD
Practice Location Address:

1405 JACAMAN RD STE 102
LAREDO, TX
78041-6225

Practice Phone: 956-568-9657
Practice Fax: 956-568-9659

1609122415 — MR. VIRGILIO VAZQUEZ GARCIA SLP
Practice Location Address:

1405 JACAMAN RD STE 106
LAREDO, TX
78041-6225

Practice Phone: 956-608-3050
Practice Fax: 956-608-3097

1619314366 — BETHSAIDA NEPHROLOGY AND INTERNAL MEDICINE
Practice Location Address:

1405 JACAMAN RD STE 102
LAREDO, TX
78041-6225

Practice Phone: 956-568-9657
Practice Fax: 956-568-9659

1912303314 — ANGELICA ZARSUELA
Practice Location Address:

1405 JACAMAN RD STE 106
LAREDO, TX
78041-6225

Practice Phone: 956-608-3050
Practice Fax: 956-608-3097

1710505466 — SOUTH TEXAS DIRECT PHYSICAL THERAPY, LLC.
Practice Location Address:

1405 JACAMAN RD STE 102
LAREDO, TX
78041-6225

Practice Phone: 956-602-1390
Practice Fax: 956-602-1392

Directions to “SOUTH TEXAS DIRECT KIDS LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.