| NPI | 1629311071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK BRUCE HARRIS Manager 281-852-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14939) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |