| NPI | 1578604542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN MAI President 281-564-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21565) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 21632) |
| 122300000X Dentist (Licence: TX 22418) | |
| 122300000X Dentist (Licence: TX 17043) | |
| 122300000X Dentist (Licence: TX 22777) | |
| 1223G0001X Dentist, General Practice (Licence: TX 16924) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20797) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-08-22 |