Individual
ELADIO DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 S CAGE BLVD, PHARR, TX 78577-5609
(956) 683-7770
Mailing address
920 E JOSHUA DR, MISSION, TX 78574-5204
(956) 862-9264
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40284
TX
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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