| NPI | 1013468776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GREG CARROLL Dentist/Owner 281-980-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 12946) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |