Provider Demographics
NPI:1861970675
Name:GARZA, REBECCA (SLP-A)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GARZA
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-8224
Mailing Address - Country:US
Mailing Address - Phone:956-537-3452
Mailing Address - Fax:956-687-4691
Practice Address - Street 1:4301 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3008
Practice Address - Country:US
Practice Address - Phone:956-687-4673
Practice Address - Fax:956-687-4691
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35590235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX15711101OtherDRIVERS LICENSE