| NPI | 1316451412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L KIRBY Owner/Partnership 903-663-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2024-03-04 |