| NPI | 1649397977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEDORE C. DYER President 325-676-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology Pediatric Otolaryngology (Licence: TX G2949) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2012-06-20 |