| NPI | 1366869935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L BURLESON Office Manager 281-392-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21818) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |