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Individual

AGUSTIN RENTERIA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S. ASST. SLP

Contact information

Practice address
2001 S CYNTHIA ST, STE A, MCALLEN, TX 78503-1278
(956) 630-6300
(956) 630-3443
Mailing address
2001 S CYNTHIA ST, STE A, MCALLEN, TX 78503-1278
(956) 630-6300
(956) 630-3443

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36241
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167033301
TX
Enumeration date
09/27/2011
Last updated
09/27/2011
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