| NPI | 1275925430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GOMEZ Office Manager 281-359-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 10159) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 19898) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 27350) | |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |