| NPI | 1053859918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JAMES CLARK Director 713-254-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 10468) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |