| NPI | 1730623950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COKER MORRISON Manager 903-592-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 12678) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |