| NPI | 1871634329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWINFORD CLAIR WILSON President 361-573-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 9271) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |