| NPI | 1407978398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARENDRA L HOGUES Insurance Coordinator 713-468-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 15396) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-04-09 |