Provider Demographics
NPI:1285820951
Name:NARVAEZ, BLANCA LAURA (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:BLANCA
Middle Name:LAURA
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451715
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-0042
Mailing Address - Country:US
Mailing Address - Phone:956-722-3377
Mailing Address - Fax:956-722-3892
Practice Address - Street 1:6999 MCPHERSON RD STE 212
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6450
Practice Address - Country:US
Practice Address - Phone:956-722-3377
Practice Address - Fax:956-722-3892
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24962235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX24962OtherSTATE LICENSE
TX207507905Medicaid