| NPI | 1164785622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD SHIRAZIAN Owner 281-804-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19674) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-07-16 |