| NPI | 1851766935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM RAY SCOTT President 512-371-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28328) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-09 |