| NPI | 1447906201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIM BANANI Owner 713-797-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |