Beacon Therapy Resource, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17977 Issued in TX

Legal business name

BEACON THERAPY RESOURCE, LLC

Practice address

342 E Rio Grande St
Suite a
Eagle Pass, TX 78852-4812

Phone

(830) 773-2400

Fax

(830) 773-8020

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Cathryn Fernandez, CCC-SLP

Title

Owner/SLP

Phone

(830) 773-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1619243243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 E RIO GRANDE ST",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524812",
            "telephone_number": "830-773-2400",
            "fax_number": "830-773-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 E RIO GRANDE ST",
            "address_2": "SUITE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524812",
            "telephone_number": "830-773-2400",
            "fax_number": "830-773-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON THERAPY RESOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "830-773-2400",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170523803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Barron, D.D.S.
• Ashley Bass
• Dara Batki
• Arturo E Batres Sr., MD
• Marie Diane Bazaldua
• Jose Rafael Berlanga, DDS
• Cruz Alberto Bernal Jr., M.D
• Samantha Castillo Bernal, DO
• Romulo Alfonso Berrezueta, PA
• Justine Marie Betzu, MD

• Speech-Language Pathologist in Eagle Pass, TX
• Providers in Eagle Pass, 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, 2012; 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.