| NPI | 1942376884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN CARLEY-HOLMES Operations Manager 512-250-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16471) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |