| NPI | 1255681409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A ALEXANDER Owner 979-849-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15282) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |