| NPI | 1992977748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL HUCKMAN Owner 361-358-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 8789) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |