| NPI | 1508369786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEU NGUYEN Manager 713-363-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |