Active NPI
Dolores Garza Olivarez, CCC,SLP
- Speech-Language Pathologist
- Laredo, TX
National Provider Identifier
1689961997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 106254
- Practice address
- 6550 Springfield Ave Ste 101
Laredo, TX 78041 - Phone
- (956) 725-4555
- Fax
- (956) 725-3555
- NPI assigned
- Jul 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 106254 | TX | Primary |
Addresses
Primary practice location
6550 Springfield Ave Ste 101
Laredo, TX 78041
Mailing address
6550 Springfield Ave Ste 101
Laredo, TX 78041
Phone (956) 725-4555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106254 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1689961997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 SPRINGFIELD AVE STE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-725-4555",
"fax_number": "956-725-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 SPRINGFIELD AVE STE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "78041",
"telephone_number": "956-725-4555",
"fax_number": "956-725-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAREZ",
"first_name": "DOLORES",
"middle_name": "GARZA",
"credential": "CCC,SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "106254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.