| NPI | 1184829707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M OWENS Owner 972-781-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K8401) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-09-11 |