| NPI | 1275635799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RAY O'BRIEN President 713-667-6478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 10439) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2020-08-22 |