| NPI | 1255639613 |
|---|---|
| Doing Business As | MEDICAL-DENTAL |
| Entity Type | Organization |
| Authorized Contact | CANDICE ADDISON Physician 512-652-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7984) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |