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Individual

BRENDA DENISE GRANADOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3601 BUDDY OWENS AVE STE 100, MCALLEN, TX 78504-6447
(956) 631-6200
(956) 631-6433
Mailing address
3601 BUDDY OWENS AVE STE 100, MCALLEN, TX 78504-6447
(956) 631-6200
(956) 631-6433

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105993
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105993
LICENSE NUMBER
TX
Enumeration date
07/15/2010
Last updated
07/15/2010
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