| NPI | 1740339191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BRADLEY MIZE President 281-681-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 17657) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: TX 19217) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |