| NPI | 1003091604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RIX WILSON Owner 713-789-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 8242) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-23 |