| NPI | 1437397106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE WESLEY COLLINS President/Endodontist 512-850-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 23831) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2014-09-17 |