Basic Information
| Provider Information | |||||||||
| NPI: | 1235764168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GALINDO | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | ANNETTE | ||||||||
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| Credential: | M.S., CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1115 W BLUCHER ST | ||||||||
| Address2: | |||||||||
| City: | FALFURRIAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 783554003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3612469992 | ||||||||
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| Practice Location | |||||||||
| Address1: | 431 NW 3RD ST | ||||||||
| Address2: | |||||||||
| City: | PREMONT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3613483553 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2020 | ||||||||
| LastUpdateDate: | 03/11/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 114168 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.