| NPI | 1194738054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DRAKE HIGGINS President Dentist 936-956-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11089) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |