Marissa Vasquez, S.T.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103947 Issued in TX

Practice address

1152 E 2ND St
Alice, TX 78332-5016

Phone

(361) 664-6085

Fax

(361) 668-3804

NPI assigned

Mar 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Platinum Horses, LLC

  dba The Littlest Angel Therapy

  • Speech-Language Pathologist
  • Alice, TX
  • NPI 1942219712
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1407028582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 E 2ND ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783325016",
            "telephone_number": "361-664-6085",
            "fax_number": "361-668-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 E 2ND ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783325016",
            "telephone_number": "361-664-6085",
            "fax_number": "361-668-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "MARISSA",
        "name_prefix": "Ms.",
        "credential": "S.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usman Qureshi, MD, PA (Alice Heart Center)
• Uvalde County Hospital Authority (Windsor Nursing and Rehabilitation Center of Alice)
• VA Health Services, Inc.
• David Robert Valadez, R.PH.
• Roel Valadez Jr., D.D.S.
• Sarah Jo Vela, PTA
• Angel Saulo Velazquez, OTR
• Albert O. Vera Jr., CRNA
• Brandy J Vera
• Victoria C. Perez, O.D., PLLC

• Speech-Language Pathologist in Alice, TX
• Providers in Alice, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.