| NPI | 1699248161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESENIA GARCIA Owner 713-436-1241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-10 |