| NPI | 1174910111 |
|---|---|
| Doing Business As | THE PARKWAY DENTIST |
| Entity Type | Organization |
| Authorized Contact | DARLIN LACOUR Office Manager 817-735-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 22699) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |