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Organization

JULIA PENA-GONZALEZ, M.S., CCC-SLP, PLLC

Active
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Organization

JULIA PENA-GONZALEZ, M.S., CCC-SLP, PLLC

Active
Other names
Speech Works, Speech Works Therapy Services, Speech Therapy Works
Organization subpart
No

Provider details

NPI number
Authorized official
JULIA PENA-GONZALEZ M.S., CCC-SLP (SOLE MEMBER)
(956) 486-2675
Entity
Organization

Contact information

Practice address
410 W 2ND ST, RIO GRANDE CITY, TX 78582-3608
(956) 735-5058
(956) 486-2675
Mailing address
3513 CATCLAW DR, RIO GRANDE CITY, TX 78582-4836
(956) 735-5058
(946) 486-2675

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528382322
INDIVIDUAL NPI
05
2108391
TX
01
528705
BLUE CROSS BLUE SHIELD
TX
01
85503
OPTUMHEALTH, INC
TX
Enumeration date
01/08/2019
Last updated
01/08/2019
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