| NPI | 1124600077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYISHA RENEE JONES Speech Language Pathologist 936-444-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |