| NPI | 1942697438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL DALE LAMB CEO/Owner 806-351-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 19008) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |