Individual provider Active NPI

Emmanuel Garza

  • Speech-Language Assistant
  • Mission, TX
National Provider Identifier
1265919906
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
35919 Issued in TX
Practice address
7602 W Interstate Highway 2 Ste B
Mission, TX 78572-9722
Phone
(956) 583-8772
NPI assigned
Jul 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 35919 TX Primary

Addresses

Primary practice location

7602 W Interstate Highway 2 Ste B
Mission, TX 78572-9722

Mailing address

PO Box 796
Penitas, TX 78576-0796
Phone (956) 583-8772

Other practice location 1

18012 Sago Palm Dr Ste 4
Penitas, TX 78576-7392
Phone (956) 519-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35919TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Pediatic Rehab Center LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1265919906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785760796",
            "telephone_number": "956-583-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 W INTERSTATE HIGHWAY 2 STE B",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729722",
            "telephone_number": "956-583-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18012 Sago Palm Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Penitas",
            "state": "TX",
            "postal_code": "785767392",
            "country_code": "US",
            "telephone_number": "956-519-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "EMMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.