| NPI | 1114293347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOA PHAM Office Manager 281-240-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20637) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |