| NPI | 1255706685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABHISHEK VERMA Credentialing Coordinator 832-369-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25968) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2019-01-14 |