| NPI | 1851834006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEVENS President 281-630-2193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22841) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |