| NPI | 1093264798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GREG CARROLL Dentist 713-906-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 12946) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-11-08 |