| NPI | 1144782608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LANDRY Dentist 281-612-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-12-05 |