Provider Demographics
NPI:1215364492
Name:GARZA, ROBELIN MARCELO II (SLP)
Entity Type:Individual
Prefix:MR
First Name:ROBELIN
Middle Name:MARCELO
Last Name:GARZA
Suffix:II
Gender:M
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 GARNER DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4408
Mailing Address - Country:US
Mailing Address - Phone:361-774-4236
Mailing Address - Fax:
Practice Address - Street 1:8214 GARNER DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4408
Practice Address - Country:US
Practice Address - Phone:361-774-4236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109577235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist