| NPI | 1336433416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS HAMMONS President 512-795-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25173) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |