| NPI | 1518158385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE CATES Patient Coordinator 512-259-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 22165) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |