| NPI | 1568851277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE M HUBBARD Finance Manager 713-932-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 13271) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |