Lucia I Vela-Garcia, SLP

Individual provider Active NPI Speech-Language Pathologist · Zapata, TX

NPI 1376692822 · NPPES record last updated May 12, 2023

Key facts

NPI
1376692822
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
102318 (TX)
Practice address
509 N US Highway 83 Ste 103
Zapata, TX 78076-4132
Phone
(956) 750-3585
Fax
(956) 253-4882
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
102318TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Over Matter Pediatric Therapy Center, LLC Speech-Language Pathologist Current
since May 14, 2023
Accepting new patients
Mind Over Matter Pediatric Therapy Center, LLC Speech-Language Pathologist Current
since May 14, 2023
Accepting new patients

Locations

509 N US Highway 83
Ste 103
Zapata, TX 78076
Phone (956) 750-3585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 102318 TX Yes

Addresses

Primary practice location

509 N US Highway 83 Ste 103
Zapata, TX 78076-4132

Mailing address

109 E 27TH St
Zapata, TX 78076-4500
Phone (956) 750-3585

Other identifiers

IdentifierTypeStateIssuer
862263137MedicaidTX

Other providers in Zapata, TX

All providers in Zapata, TX · Speech-Language Pathologist in Texas

Sources for this page

Verify at the official NPI Registry.