| NPI | 1992079032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BRACELAND Insurance Billing Manager 469-385-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107534) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |