| NPI | 1245094515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDA AVANCE Owner 817-909-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |