Individual
DIANA PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 W SESAME DR, HARLINGEN, TX 78550-7930
(956) 399-4500
(956) 399-4505
Mailing address
613 W SESAME DR, HARLINGEN, TX 78550-7930
(956) 399-4500
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33841
TX
Other
Enumeration date
11/30/2012
Last updated
02/26/2019
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