| NPI | 1508260894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI TATARI Clinical Director 832-444-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19864) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-03-20 |