| NPI | 1558819615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO A. MEJIA Owner 936-588-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22766) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-01-31 |