| NPI | 1356626758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN RICHARDSON Owner 713-796-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 12776) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2020-07-13 |