| NPI | 1073667150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP C KOURY General Partner 979-297-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19079 & 21826) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |