Provider Demographics
NPI:1083113237
Name:ROCHA, FELIX JR (SLP-ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:ROCHA
Suffix:JR
Gender:M
Credentials:SLP-ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-2153
Mailing Address - Country:US
Mailing Address - Phone:956-532-8960
Mailing Address - Fax:
Practice Address - Street 1:2315 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2153
Practice Address - Country:US
Practice Address - Phone:956-532-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX352622355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant