| NPI | 1801041611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD RUSSELL SEABOLD Oral And Maxillofacial Surgeon 713-981-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX N1442) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |