| NPI | 1992243901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CARRICK Executrix Of Joe Carrick Estate 281-795-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |