Individual ProviderPatricia Anne DelukeSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165(512) 615-6862(409) 718-7859PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Anne Deluke does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1396801221Provider TypeIndividualFull NameDeluke, Patricia AnneTitleMrs.CredentialSLPGenderFemaleSole ProprietorYesEnumeration Date12/28/2006Last Updated2/26/2009Contact InformationPractice LocationPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 615-6862FaxUnlisted FaxMailing LocationMailing Address4716 Duval Rd Apt F23, Austin, TX 78727-6853Phone(409) 718-7859FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense11237TexasProvider IdentifiersIDDescriptionIssuerID004639301DescriptionMedicaidIssuerUnlistedTexas