MEDICARE: SHELBY TARYN BACA-ZURBARAN

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

General Provider Information

NPI Number	:	1881376713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY TARYN BACA-ZURBARAN

Provider Business Mailing Address
First Line	:	600 XANTHISMA AVE
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2791
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 SAN PEDRO AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6201
Country	:	US
Telephone Number	:	956-377-8000
Fax Number	:

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

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	08/01/2023

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Directions to “ SHELBY TARYN BACA-ZURBARAN ” Practice Location

Language	Start Address	Practice Location

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