NPI | 1164792354 |
---|---|
Entity Type | Organization |
Authorized Contact | DOREEN DE LA PAZ-REYES Owner/Admin 361-455-9898 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104407) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |