| NPI | 1558770214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMSEY MATTHEW FANOUS Owner 806-794-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX TX16343) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |