| NPI | 1164774964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TARDY General Manager 713-263-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24915) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |