| NPI | 1316955586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE M RICHARDS Orthodontist 281-360-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 14806) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |