| NPI | 1003362971 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRITTNEY GOODMAN PETTIS Speech Language Pathologist 713-517-2369  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: TX 106046)  | 
| Enumeration Date | 2016-08-30 | 
| Last Update Date | 2016-08-30 |