| NPI | 1306953906 |
|---|---|
| Former Legal Business Name | DRS HYDE BAILEY MILLER PTR NORTH |
| Entity Type | Organization |
| Authorized Contact | CHARLES W. MILLER Owner 817-478-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist Pediatric Dentistry (Licence: TX 9223) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-01-30 |