| NPI | 1972624005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN MAI President 281-564-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 22533) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 22777) |
| 122300000X Dentist (Licence: TX 20962) | |
| 122300000X Dentist (Licence: TX 08554) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |