| NPI | 1619298072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A SPARKS Administrator 361-334-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100362) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |