Individual ProviderRoseanna Campos-MartinezSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address101 W Goodwin Ave, Victoria, TX 77901-6502(361) 576-0694PECOS EnrollmentBased on the most recent information from CMS, provider Roseanna Campos-Martinez 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 12:57 PM.Profile DetailsProvider ID1710467329Provider TypeIndividualFull NameCampos-Martinez, RoseannaGenderFemaleSole ProprietorNoEnumeration Date8/14/2018Last Updated8/14/2018Contact InformationPractice LocationPractice Address101 W Goodwin Ave, Victoria, TX 77901-6502Phone(361) 576-0694FaxUnlisted FaxMailing LocationMailing Address101 W Goodwin Ave Ste 600, Victoria, TX 77901-6530PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense16986Texas