| NPI | 1225321565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. ALFORD President 512-261-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: TX 21279) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |