| NPI | 1831509728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. COOK Owner 512-451-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22510) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 11693) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |