| NPI | 1538893557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHERESIA R RUSSELL Speech Language Pathologist 832-206-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |