| NPI | 1225808686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENENDA SHAWN OKENDU Adminstrator 832-591-6836 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-15 |