| NPI | 1407047772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOPEZ Speech Language Pathologist 817-808-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101417) |
| Additional Taxonomies | 251E00000X Home Health (Licence: TX 101417) |
| Enumeration Date | 2007-08-02 |
| Last Update Date | 2007-08-02 |