| NPI | 1992899652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY WAYNE SIMMONS President 903-753-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 11363) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-02-17 |