| NPI | 1972768000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BROUGH Dentist 361-883-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14026) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |