| NPI | 1790388627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D WEST III President 469-262-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |