| NPI | 1538515580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVISHKUMAR PATEL Owner 512-717-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30081) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30046) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |