| NPI | 1013161991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL E. DIAZ CEO 281-484-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 9683) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2015-06-10 |