Provider Demographics
NPI:1467866145
Name:GOMEZ GARCIA, BARBARA (MS,SLP-CCC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GOMEZ GARCIA
Suffix:
Gender:F
Credentials:MS,SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 PEDERNALES
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1400
Mailing Address - Country:US
Mailing Address - Phone:256-337-3089
Mailing Address - Fax:
Practice Address - Street 1:620 PEDERNALES
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1400
Practice Address - Country:US
Practice Address - Phone:256-337-3089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107019235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist