Individual
AGUSTIN DE LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
525 PALM HVN, BROWNSVILLE, TX 78521-4122
(956) 459-8045
(956) 831-9931
Mailing address
525 PALM HVN, BROWNSVILLE, TX 78521-4122
(956) 459-8045
(956) 688-6336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107795
TX
Other
Enumeration date
06/22/2012
Last updated
09/02/2014
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