| NPI | 1720305931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA LETICIA VILLAREAL Billing Manager 956-412-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103783) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109156) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |