| NPI | 1609623248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGON BROUSSARD GLASS Speech Language Pathologist 214-585-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |