NPI | 1336162510 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD M WILEY III Vice President For Operations 361-853-8999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14559) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-22 |