| NPI | 1285039339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX G BACHOURA President 713-817-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 24787) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |