| NPI | 1891271748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY DORNBACK Audiologist 469-877-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: TX 51097) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-30 |