Individual
MRS. AUDRA GAIL SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC/SLP
Contact information
Practice address
3804 S JACKSON RD # 1, EDINBURG, TX 78539-6681
(956) 296-3001
(956) 296-3000
Mailing address
6002 NACAHUITA LN, HARLINGEN, TX 78552-1908
(956) 647-8762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102914
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387283002
—
TX
05
—
387283003
—
TX
01
—
H08LZ45701
BCBS
TX
Enumeration date
12/10/2008
Last updated
03/19/2020
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