| NPI | 1205211174 |
|---|---|
| Doing Business As | KOALA CENTER FOR SLEEP DISORDERS TX-1 |
| Entity Type | Organization |
| Authorized Contact | DERRICK TAYLOR Office Manager/Co Owner 817-913-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 18732) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-12-08 |