| NPI | 1346447505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL W. FONNER President 817-284-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 50312) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |