| NPI | 1811000755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER L TYE Principal 817-552-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: TX J2388) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-06-25 |