| NPI | 1134890999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL WINONA SORENSEN MORRIS Owner 713-565-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2026-05-03 |