| NPI | 1396875373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MARTINEZ Insurance Administrator 281-693-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15715) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-10-22 |