| NPI | 1477540052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND L WIGGINS Dr 281-395-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 18986) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-03-05 |