| NPI | 1881263150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S HICKS Owner 713-955-4224 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |