| |
636 Highway 6 Ste 700 Sugar Land TX 77478-5143 | |
(281) 240-3210 | |
(281) 240-3218 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 636 Highway 6 Ste 700, Sugar Land, Texas |
Authorized Official Name and Position | Tan Pham (OWNER) |
Authorized Official Contact | 2812403210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
636 Highway 6 Ste 700 Sugar Land TX 77478-5143 Ph: (281) 240-3210 | 636 Highway 6 Ste 700 Sugar Land TX 77478-5143 Ph: (281) 240-3210 |
NPI Number | 1912681735 |
---|---|
Provider Enumeration Date | 06/12/2023 |
Last Update Date | 07/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912681735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dental Specialist Of Texas Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15200 Southwest Fwy Ste 120, Sugar Land, TX 77478 Phone: 281-494-2477 | |
Avalon Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Williams Trace Blvd, Ste 108, Sugar Land, TX 77478 Phone: 281-240-5559 Fax: 281-240-5557 |