| NPI | 1376633065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H DONELSON President 281-353-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 10688) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |