| NPI | 1063808483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL M. RODRIGUEZ Speech And Language Pathologist 939-579-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PR 1066) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PR 2035) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |