| Organization Name: | COOMUNITY ACTIO CORPORATION OF SOUTH TEXAS |
| NPI Number: | 1609979137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFAEL TREVINO (CEO) |
| Mailing Address: | 204 E 1st St Alice |
| State: | TX US |
| Postal Code: | 783324822 |
| Phone Number: | 3616640145 |
| Fax Number: | 3616683319 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 102287 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |