Provider Demographics
NPI:1528347200
Name:GARZA CANTU, ROXANNE (SLP-CCC)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:GARZA CANTU
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3105
Mailing Address - Country:US
Mailing Address - Phone:956-519-2500
Mailing Address - Fax:956-519-2520
Practice Address - Street 1:2509 PALM CIR
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6287
Practice Address - Country:US
Practice Address - Phone:956-735-3044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist