Individual
CORNELIO BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP-ASSISTANT
Contact information
Practice address
901 E REDBUD AVE STE 5A, MCALLEN, TX 78504-4673
(956) 353-9508
(866) 610-1692
Mailing address
901 E REDBUD AVE STE 5A, MCALLEN, TX 78504-4673
(956) 353-9508
(866) 610-1692
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34601
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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