Provider Demographics
NPI:1740766419
Name:RESENDEZ, MILAGROS G (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:G
Last Name:RESENDEZ
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 LA CANTERA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1647
Mailing Address - Country:US
Mailing Address - Phone:956-821-2240
Mailing Address - Fax:
Practice Address - Street 1:871 OLD ALICE RD STE 100
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8269
Practice Address - Country:US
Practice Address - Phone:956-782-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX368882355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant