| NPI | 1063908671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C. ALBRIGHT Oral Surgeon/Owner 210-490-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 13715) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 30696) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |