NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1922245695 |   |   |   | MATTHEWS DENTAL GROUP, PA | 1509 EMERALD PKWY STE 105 | COLLEGE STATION | TX | 778455502 |
1033556105 | ERICKSON | JAY | M |   | 1509 EMERALD PARKWAY SUITE 105 | COLLEGE STATION | TX | 77845 |
1912040809 | FARRAR | ASHLEY | L |   | 1509 EMERALD PKWY | COLLEGE STATION | TX | 778455501 |
1912092974 | MATTHEWS | ASHTON | TODD |   | 1400 TUCKER NUCK | COLLEGE STATION | TX | 778459368 |
1124755202 | RENDON | JACOB | ALEXANDER |   | 213 LYNN DR # 201 | BRYAN | TX | 778013322 |