NPIMap

Elijah'S Hand Pediatric Rehab

Organization Active NPI Speech-Language Pathologist · Uvalde, TX

NPI 1487019873 · NPPES record last updated Dec 12, 2016

Key facts

NPI
1487019873
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
104549 (TX)
Legal business name
ELIJAH'S HAND PEDIATRIC REHAB
Practice address
137 N High St
Uvalde, TX 78801-5205
Phone
(830) 900-5205
Fax
(830) 900-5252
NPI assigned
Dec 29, 2015
Organization subpart
No

Authorized official

Name
Laura Bereniz Gonzalez
Title
Owner
Phone
(830) 900-5205

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

137 N High St
Uvalde, TX 78801
Phone (210) 214-2191

125 N High St
Uvalde, TX 78801
Phone (830) 900-5205

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X 1221239 TX
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X 113061 TX
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X 104549 TX Yes

Addresses

Primary practice location

137 N High St
Uvalde, TX 78801-5205

Mailing address

137 N High St
Uvalde, TX 78801-5205
Phone (830) 900-5205

Other identifiers

IdentifierTypeStateIssuer
216402205MedicaidTX
351746801MedicaidTX
353500701MedicaidTX

Other providers in Uvalde, TX

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

Sources for this page

Verify at the official NPI Registry.