| NPI | 1174670376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RALPH PHILLIPS Owner/Physician 214-363-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX L7848) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-03-12 |