| NPI | 1689706293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL HERNANDEZ President 956-318-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16840) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21786) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |