| NPI | 1497707749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE R NEELEY Partner/Dds 512-327-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10152) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 19043) |
| 1223G0001X Dentist, General Practice (Licence: TX 19881) | |
| 122300000X Dentist (Licence: TX 23805) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-02-02 |