| NPI | 1427323229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNICE Y. PARKER Office Manager 254-690-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 17511) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |