| NPI | 1093546954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BLEDSOE Owner 409-659-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-10-31 |