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Organization
MARY GARCIA, M.S., CCC-SLP, PLLC
Active
Organization
MARY GARCIA, M.S., CCC-SLP, PLLC
Active
Other names
West Texas Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GARCIA M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(432) 214-1218
Entity
Organization
Contact information
Practice address
850 TOWER DR, SUITE 112, ODESSA, TX 79761-4238
(432) 214-1218
Mailing address
1722 E 11TH ST, ODESSA, TX 79761-2917
(432) 214-1218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437421666
NPI TYPE 1
—
05
—
354674901
—
TX
Enumeration date
05/16/2016
Last updated
05/16/2016
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