Manuel Carrillo , BS
Specialist/Technologist - Speech-Language Assistant • Lubbock, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Manuel Carrillo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Manuel Carrillo, BS was a registered Specialist/Technologist - Speech-Language Assistant practicing in Lubbock, TX. Throughout an active medical career spanning 8 years, Manuel Carrillo provided care at the practice location at 5225 S LOOP 289 until profile deactivation on 2021-04-01.
Practice Location & Contact Primary Location
5225 S Loop 289
Ste 210
Lubbock, TX 794241363
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Lubbock, TX
Practicing in Lubbock, TX (3463 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 2355S0801X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
Speech-Language Pathologist
Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)
Specialist/Technologist - Speech-Language Assistant
Bachelor of Science
Occupational Therapist
Occupational Therapist Registered
Specialist/Technologist - Speech-Language Assistant
Occupational Therapy Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 01, 2021
NPI status registered as active in NPPES database
Registered at 5225 S LOOP 289, STE 210, LUBBOCK, TX 794241363 (Tel: 8067804180)
Registered at 305 NE LOOP 820, BUSINESS TOWER 1, STE 200, HURST, TX 760537209 (Tel: 8067804180)
Recorded as MANUEL CARRILLO, B.S.
Specialist/Technologist (License #34326 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
305 Ne Loop 820, Business Tower 1, Ste 200
Hurst, TX 760537209
Phone: 8067804180
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