| NPI | 1760554125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ERIC CRAWFORD President 806-353-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18915) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-08-05 |