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Organization
SOUTH TEXAS DIRECT KIDS LLC
Active
Organization
SOUTH TEXAS DIRECT KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGILIO VAZQUEZ GARCIA SLP-CCC (OWNER)
(956) 324-9014
Entity
Organization
Contact information
Practice address
1405 JACAMAN RD STE 106, LAREDO, TX 78041-6225
(956) 608-3050
(956) 608-3097
Mailing address
1405 JACAMAN RD STE 106, LAREDO, TX 78041-6225
(956) 602-1390
(956) 602-1392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/02/2022
Last updated
03/24/2023
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