Provider Demographics
NPI:1104183003
Name:BEST- BEYOND EXPECTATIONS SPEECH THERAPY
Entity Type:Organization
Organization Name:BEST- BEYOND EXPECTATIONS SPEECH THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNRR
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REZA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-583-5000
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:LA JOYA
Mailing Address - State:TX
Mailing Address - Zip Code:78560-0208
Mailing Address - Country:US
Mailing Address - Phone:956-583-5000
Mailing Address - Fax:
Practice Address - Street 1:836 E EXPRESSWAY 83
Practice Address - Street 2:
Practice Address - City:LA JOYA
Practice Address - State:TX
Practice Address - Zip Code:78560-4178
Practice Address - Country:US
Practice Address - Phone:956-583-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800875226261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation