| NPI | 1942513171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIEDRA FIGURES JACKSON Speech Pathologist 817-798-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100910) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |