| NPI | 1356995195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMALA CLOSE Speech Language Pathologist 214-336-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |