Jessica Cano, M.A., SLP-CCC
Individual provider Active NPI Speech-Language Pathologist · San Elizario, TX
NPI 1154772523 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1154772523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 111473 (TX)
- Practice address
- 1433 Tula CT
San Elizario, TX 79849-0137 - Phone
- (915) 820-2889
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111473 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun City Speech Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111473 | TX | Yes |
Addresses
Primary practice location
1433 Tula CT
San Elizario, TX 79849-0137
Mailing address
PO Box 137
San Elizario, TX 79849-0137
Phone (915) 820-2889
Other providers in San Elizario, TX
- Jojean H. Butler
- Centro de Salud Familiar la Fe, Inc.
- Centro San Vicente
- Luis Antonio Chavarria
- Christina Desiray Cortez
- Jamye L Cox
All providers in San Elizario, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.