| NPI | 1699133801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B GULLEY Owner/Oral Surgeon 361-992-3873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |