| NPI | 1366776668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID SCHAULIN President 281-992-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX 17232) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |