| NPI | 1194992438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A BURKETT President 956-686-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18991) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2009-02-12 |