| NPI | 1619287489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA M CABALLERO Secretary 512-267-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17815) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |