| NPI | 1245548452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA BRADLEY Billing Specialist 325-658-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 104463) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |