| NPI | 1811430929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN K JAMES Dentist 956-425-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: TX 20241) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-01-16 |