| NPI | 1730220633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DEANN SWANN Insurance Coordinator 281-320-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14370) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 18848) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |