| 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 |