Provider Demographics
NPI:1376692822
Name:VELA-GARCIA, LUCIA I (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:I
Last Name:VELA-GARCIA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:ZAPATA
Mailing Address - State:TX
Mailing Address - Zip Code:78076-4500
Mailing Address - Country:US
Mailing Address - Phone:956-750-3585
Mailing Address - Fax:956-253-4882
Practice Address - Street 1:509 N US HIGHWAY 83 STE 103
Practice Address - Street 2:
Practice Address - City:ZAPATA
Practice Address - State:TX
Practice Address - Zip Code:78076-4132
Practice Address - Country:US
Practice Address - Phone:956-750-3585
Practice Address - Fax:956-253-4882
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102318235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX862263137Medicaid