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Individual

ALEXANDRINA QUINTANILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
5515 N INTERNATIONAL BLVD STE 2, WESLACO, TX 78599-1500
(956) 204-1533
Mailing address
5515 N INTERNATIONAL BLVD STE 2, WESLACO, TX 78599-1500
(956) 204-1533

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114723
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031914001
TX
05
031914041
TX
05
031914101
TX
05
245901001
TX
05
245901041
TX
05
245901101
TX
05
245903001
TX
05
245903041
TX
05
245903102
TX
05
245903105
TX
05
245904002
TX
05
245904041
TX
05
245904101
TX
Enumeration date
10/13/2022
Last updated
01/30/2026
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