| NPI | 1497456131 |
|---|---|
| Doing Business As | HTX DENTIST |
| Entity Type | Organization |
| Authorized Contact | JERRY LANE WESTOVER Owner 512-839-0330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |