| NPI | 1851890883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ALICIA ESCOBAR Office Manager 832-437-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29360) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |