| NPI | 1407530751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE RENSHAW Speech/Language Pathologist/Manager 210-885-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |