| NPI | 1053689547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL ELLEN LELEUX Office Manager 281-259-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17133) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |