| NPI | 1013204361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARQUEL R MCCABE Dentist 210-654-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 12837) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22463) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |