| NPI | 1073298295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA ESCOBAR Medical Director 832-933-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2026-03-11 |