| NPI | 1033223193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY WAYNE HERRINGTON Dr. 936-756-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 10411) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 19109) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-09-22 |