Provider Demographics
NPI:1679855803
Name:MARYBEL L PANTOJA SPEECH THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:MARYBEL L PANTOJA SPEECH THERAPY SERVICES PLLC
Other - Org Name:BEYOND WORDS REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYBEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:PANTOJA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-631-7674
Mailing Address - Street 1:1309 E. NOLANA AVE.
Mailing Address - Street 2:STE. C
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6190
Mailing Address - Country:US
Mailing Address - Phone:956-631-7674
Mailing Address - Fax:956-631-0075
Practice Address - Street 1:1309 E. NOLANA AVE.
Practice Address - Street 2:STE. C
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6190
Practice Address - Country:US
Practice Address - Phone:956-631-7674
Practice Address - Fax:956-631-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation