| NPI | 1023480209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA ALVIZO Administrator 956-983-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 101612) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |