| NPI | 1811134620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEP T PHAM Owner 281-741-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 17862) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |