| NPI | 1972045722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISHANO THOMAS Owner 713-784-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX TX10126) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX TX27229) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |