| NPI | 1568660892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAVIOLA H TREVINO Administrator 956-664-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 19324) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2007-07-12 |