Doctor Name: | MR. NOE REYES |
NPI Number: | 1972770089 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, CCC/SLP |
License Number: | 100432 |
Business Practice Address: | 4004 N Jackson Rd Pharr, TX - 785774962 |
Business Phone Number: | 9566182287 |
Business Fax Number: | 9566182296 |
Mailing Address: | Po Box 473, 2509 Brazil St HIDALGO |
State: | TX |
Postal Code: | 785570473 |
Phone Number: | 9568435044 |
Fax Number: | 9566182296 |
NPI Enumeration Date: | 05/08/2008 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 100432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |