San Juanita A Cavazos, SLP-A
Individual provider Active NPI Speech-Language Assistant · San Benito, TX
NPI 1164617809 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1164617809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 32976 (TX)
- Practice address
- 711 N Sam Houston Blvd
San Benito, TX 78586-5264 - Phone
- (956) 626-3366
- NPI assigned
- Sep 6, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32976 | TX | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Primary Home Care, LLC | Current |
Accepting new patients |
Locations
711 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 626-3366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 32976 | TX | Yes |
Addresses
Primary practice location
711 N Sam Houston Blvd
San Benito, TX 78586-5264
Mailing address
611 Garrison Dr
San Benito, TX 78586-5021
Phone (956) 244-0032
Other providers in San Benito, TX
- Monica Cano
- Magdalen Hope Cantu
- Amanda Yvonne Castillo Rodriguez
- James Michael Cavazos
- Margarita Jaimez Cavazos
- CDP Enterprises
- CDP Enterprises, LLC
- Yvonne Cerda
- Nicholas Chan
- Anna Irene Chavez
All providers in San Benito, TX · Speech-Language Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. 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.