| NPI | 1699921825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL M HICKMAN President 281-516-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX D13346) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |