| NPI | 1568791861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES KEENER SCRUGGS Doctor 409-948-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 13026) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |