| NPI | 1124271325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEWIS SERVANCE Slp 281-403-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16446) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |