| NPI | 1417211525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK JOSEPH PLATT Owner 903-592-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25670) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-06-06 |