| NPI | 1306332283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH WILKINSON OSER Owner 214-924-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 11701) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 11701) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-08-17 |