| NPI | 1558622894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY F MAPES Owner 903-297-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 13912) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-07-19 |