| NPI | 1952455867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD HORNE President 512-454-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 12740) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |