Renteria, Agustin

Renteria, Agustin is an individual health care provider with primary practice located at 2001 S Cynthia St Ste A, Mcallen TX 78503-1278. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as his primary health care specialty. Renteria, Agustin can be contacted via phone (956) 630-6300.

Contact Information

Primary practice address
2001 S Cynthia St Ste A Mcallen TX 78503-1278
Phone: (956) 630-6300
Fax: (956) 630-3443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 36241 Texas

Profile Details

NPI number 1679856579
LBN Legal business name Renteria, Agustin
Credentials B.S. ASST. SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2011
Last updated Sep 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679856579 NPPES
Texas MEDICAID 167033301

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