| NPI | 1740423011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P MCPHILLIPS President 817-283-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 24440) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |