| NPI | 1093167918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON DAWN REVES President/Owner 817-937-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 101675) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |