| NPI | 1558680454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J BAILEY President 936-639-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TX J6864) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-08-17 |