| NPI | 1972778041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA L MEYER Office Administrator 281-494-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17166) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-04-15 |