Clydon Vista, is a
Specialist/technologist - Speech-language Assistant based in Mcallen, Texas. Clydon Vista is licensed to practice in Texas (license number 39446) and his current practice location is
3813 Mynah Ave, Mcallen, Texas. He can be reached at his office (for appointments etc.) via phone at
(956) 867-1016.
NPI number for Clydon Vista is 1710340435 and his current mailing address is 3813 Mynah Ave, Mcallen, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710340435.
Healthcare Provider's Profile
Full Name | Clydon Vista |
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Gender | Male |
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Speciality | Specialist/technologist - Speech-language Assistant |
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Location | 3813 Mynah Ave, Mcallen, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710340435
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 05/31/2024
Medical Identifiers
Medical identifiers for Clydon Vista such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710340435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | 39446 (Texas) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | 39446 (Texas) | Secondary |
2355S0801X | Specialist/technologist - Speech-language Assistant | 39446 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clydon Vista is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clydon Vista, 3813 Mynah Ave, Mcallen, TX 78504-5905 Ph: (956) 867-1016 | Clydon Vista, 3813 Mynah Ave, Mcallen, TX 78504-5905 Ph: (956) 867-1016 |
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