Individual provider Active NPI

Bella L Leal-Garza, MA CCC SLP

  • Speech-Language Pathologist
  • Mission, TX
National Provider Identifier
1962665901
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11553 Issued in TX
Practice address
1112 E Griffin Pkwy STC C
Mission, TX 78572-2408
Phone
(956) 432-0113
Fax
(956) 432-0115
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11553 TX Primary

Addresses

Primary practice location

1112 E Griffin Pkwy STC C
Mission, TX 78572-2408

Mailing address

1112 E Griffin Pkwy
Mission, TX 78572-2408
Phone (956) 432-0113

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11553TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1962665901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-432-0113",
            "fax_number": "956-432-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E GRIFFIN PKWY STC C",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722408",
            "telephone_number": "956-432-0113",
            "fax_number": "956-432-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL-GARZA",
        "first_name": "BELLA",
        "middle_name": "L",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.