| NPI | 1043531759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO BRIGMAN President 210-323-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21052) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 22512) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |