| NPI | 1386050532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA NAWAB Owner 713-822-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: VA 0401413171) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |