| NPI | 1083943161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA JOHANA TANGUMA Speech Language Pathologist 956-240-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2012-10-12 |