| NPI | 1548890973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE MARES Speech Language Pathologist 512-762-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |