| NPI | 1578092748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA AMADOR Office Manager 713-694-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 19674) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |