Marisa Christina Caban
Individual provider Active NPI Speech-Language Pathologist · Del Rio, TX
NPI 1356909261 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1356909261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 111695 (TX)
- Practice address
- 301 W Martin St
Del Rio, TX 78840-5429 - Phone
- (830) 775-2459
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 111695 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 111695 | TX | Yes |
Addresses
Primary practice location
301 W Martin St
Del Rio, TX 78840-5429
Mailing address
315 Griner St
Del Rio, TX 78840
Phone (830) 778-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15714966 | Other | TX | DL |
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All providers in Del Rio, 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 Jun 5, 2019. 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.