| NPI | 1568800316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY ROJAS Credentialing Specialist 956-838-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 101001) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113800) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 101572) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2018-04-19 |