| NPI | 1043598139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNE LORG Member 512-297-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101087) |
| Enumeration Date | 2011-07-24 |
| Last Update Date | 2011-07-24 |