| NPI | 1215168661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE NATHANIEL JACKSON Speech/Language Pathologist 832-656-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 18700) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |