NPIMap

Organization Active NPI

Mary Garcia, M.S., CCC-SLP, PLLC

Doing business as West Texas Speech Therapy

  • Speech-Language Pathologist
  • Odessa, TX
National Provider Identifier
1073960548
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104558 Issued in TX
Legal business name
MARY GARCIA, M.S., CCC-SLP, PLLC
Doing business as
West Texas Speech Therapy
Practice address
850 Tower Dr
Suite 112
Odessa, TX 79761-4238
Phone
(432) 214-1218
NPI assigned
May 16, 2016
Last updated
May 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Garcia, M.S., CCC-SLPNPI 1437421666
Title
Speech Language Pathologist
Phone
(432) 214-1218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104558 TX Primary

Addresses

Primary practice location

850 Tower Dr
Suite 112
Odessa, TX 79761-4238

Mailing address

1722 E 11TH St
Odessa, TX 79761-2917
Phone (432) 214-1218

Other identifiers 2

IdentifierTypeStateIssuer
1437421666OtherNPI TYPE 1
354674901MedicaidTX

Other names 1

  • West Texas Speech Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

850 Tower Dr
Ste 112
Odessa, TX 79761
Phone (432) 332-0052

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1073960548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E 11TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612917",
            "telephone_number": "432-214-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER DR",
            "address_2": "SUITE 112",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614238",
            "telephone_number": "432-214-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GARCIA, M.S., CCC-SLP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "432-214-1218",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437421666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354674901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Texas Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.