NPI | 1003216250 |
---|---|
Doing Business As | ORAL AND FACIAL SURGERY INSTITUTE OF HOUSTON |
Entity Type | Organization |
Authorized Contact | GINA CASU Credentialing Manager 713-790-6477 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 30729) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2018-08-08 |