| NPI | 1376661496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THEODORE THOMPSON Dentist 361-242-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14704) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |