| NPI | 1700071214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLON ANN EAGAN Speech Language Pathologist 281-650-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 12931) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2012-07-31 |