Provider Demographics
NPI:1093420986
Name:GARCIA, MIRIAM ELIZABETH (SLP-ASSISTANT)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:ELIZABETH
Last Name:GARCIA
Suffix:
Gender:F
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 1:702 E EXPRESSWAY 83 STE A6
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2742
Mailing Address - Country:US
Mailing Address - Phone:956-420-1802
Mailing Address - Fax:956-420-1804
Practice Address - Street 1:702 E EXPRESSWAY 83 STE A6
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2742
Practice Address - Country:US
Practice Address - Phone:956-420-1802
Practice Address - Fax:956-420-1804
Is Sole Proprietor?:No
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX359172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant