| NPI | 1043750664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOKANSON Office Manager 713-941-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22464) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |