| NPI | 1871958785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MCANANEY Owner 903-465-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 16520) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |