| NPI | 1437397148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J PRITCHARD Doctor/Owner 254-751-1171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX 10880) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX t15373) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |