Gloria Estella Alcaraz

Individual provider Active NPI Speech-Language Assistant · Brownsville, TX

NPI 1497082028 · NPPES record last updated Nov 3, 2009

Key facts

NPI
1497082028
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
35258 (TX)
Practice address
871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268
Phone
(956) 541-2102
Fax
(956) 541-2502
NPI assigned
Nov 3, 2009
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)
No

State licenses

LicenseStateTypeSpecialty
35258TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 35258 TX Yes

Addresses

Primary practice location

871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268

Mailing address

871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268
Phone (956) 541-2102

Other identifiers

IdentifierTypeStateIssuer
35258OtherTXSTATE LICENSE

Other names

  • Gloria Estella De Lacruz Former name

Other providers in Brownsville, TX

All providers in Brownsville, TX · Speech-Language Assistant in Texas

Sources for this page

Verify at the official NPI Registry.