| NPI | 1528225935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GALVAN Clerical 956-412-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 19313) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2015-02-06 |