| NPI | 1851831051 |
|---|---|
| Doing Business As | MIDLAND SPEECH CENTER |
| Entity Type | Organization |
| Authorized Contact | DARA L JACKSON President/Speech Language Pathologi 575-444-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 110650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106215) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |