| NPI | 1033882592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL MENCHACA Speech Pathologist 512-909-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |