| NPI | 1265660518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA PHAM Office Manager 512-832-6395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2011-11-02 |