Brenda Denise Granados
Individual provider Active NPI Speech-Language Pathologist · McAllen, TX
NPI 1629381900 · NPPES record last updated Jul 15, 2010
Key facts
- NPI
- 1629381900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 105993 (TX)
- Practice address
- 3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447 - Phone
- (956) 631-6200
- Fax
- (956) 631-6433
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105993 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 105993 | TX | Yes |
Addresses
Primary practice location
3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447
Mailing address
3601 Buddy Owens Ave Ste 100
McAllen, TX 78504-6447
Phone (956) 631-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105993 | Other | TX | LICENSE NUMBER |
Other providers in McAllen, TX
- Ramneesh Goyal
- Shubhank Goyal
- Grace DME LLC.
- Gracia Hospice Care, LLC
- Jessica L Graham
- Fernanda Granados
- Errol Olwyn Grannum
- Tiffany Rose Gravador-Flores
- Greater Valley Pathology Group PA
- John Adam Green
All providers in McAllen, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.