Provider Demographics
NPI:1447422258
Name:VASQUEZ LUCIO, ROXANNA MARIA (SLP ASST)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNA
Middle Name:MARIA
Last Name:VASQUEZ LUCIO
Suffix:
Gender:F
Credentials:SLP ASST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 ROYAL ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6978
Mailing Address - Country:US
Mailing Address - Phone:956-292-0756
Mailing Address - Fax:
Practice Address - Street 1:7017 N 10TH ST
Practice Address - Street 2:STE T
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3287
Practice Address - Country:US
Practice Address - Phone:956-630-6300
Practice Address - Fax:956-630-3443
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant