| NPI | 1518262112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J. CHEN President 281-890-1158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 11886) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 12241) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 21567) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-08-29 |