| NPI | 1831357870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRASEMA CAMPA Administrative Asst 713-697-2631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22558) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 16842) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2011-12-06 |