| NPI | 1760402085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HENRY DAVIS President 979-846-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11796) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |