| |
5751 Blythewood St Ste 100 Houston TX 77021-5402 | |
(281) 593-3300 | |
(281) 593-1616 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 5751 Blythewood St, Houston, Texas |
Authorized Official Name and Position | Iraj S Jabbary (OWNER) |
Authorized Official Contact | 7139446800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1500 Southmore Ave Pasadena TX 77502-1307 Ph: (713) 944-6800 | 5751 Blythewood St Ste 100 Houston TX 77021-5402 Ph: (281) 593-3300 |
NPI Number | 1013230788 |
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Provider Enumeration Date | 03/09/2010 |
Last Update Date | 07/29/2022 |
Medicare PECOS PAC ID | 3779873708 |
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Medicare Enrollment ID | O20160603001224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013230788 | NPI | - | NPPES |
210698101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18929 (Texas) | Primary |
Provider Name | Syeda A Reyes |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1265729321 PECOS PAC ID: 1951692250 Enrollment ID: I20160616001142 |
Provider Name | Mustafa G Alsafi |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1316321482 PECOS PAC ID: 8022309327 Enrollment ID: I20160616001231 |
Provider Name | Soujanya Pinnamaneni |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1477700789 PECOS PAC ID: 1052601994 Enrollment ID: I20160616001365 |
Provider Name | Snigda Goutareddy |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1669796116 PECOS PAC ID: 1153612486 Enrollment ID: I20160616002181 |
Provider Name | Anju N Mandhani |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1821285065 PECOS PAC ID: 5890088058 Enrollment ID: I20160726000531 |
Provider Name | Kim Thu Dinh |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1982768511 PECOS PAC ID: 0547554412 Enrollment ID: I20160816001329 |
Provider Name | Abdirahman Nur |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1972838415 PECOS PAC ID: 1557641305 Enrollment ID: I20161213001411 |
Provider Name | Travis J Cook |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1265846448 PECOS PAC ID: 1052691607 Enrollment ID: I20161217000006 |
Provider Name | Arnel Celestino |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1497776645 PECOS PAC ID: 1355883737 Enrollment ID: I20240613000910 |
Provider Name | Iraj Jabbary |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1376564518 PECOS PAC ID: 6709176985 Enrollment ID: I20240614000143 |
Provider Name | Parastoo N Coselli |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1972155869 PECOS PAC ID: 4789010174 Enrollment ID: I20240621000932 |
Provider Name | Armin Jabbary |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1689251019 PECOS PAC ID: 0547704843 Enrollment ID: I20240627001976 |
Provider Name | Haivy Castillo Rincon |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1396251922 PECOS PAC ID: 9133663750 Enrollment ID: I20240706000092 |
Provider Name | Belinda Nguyen |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1164610952 PECOS PAC ID: 6800331992 Enrollment ID: I20240712002866 |
Allbrite Dental Associates,l.p. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5372 W 34th St, Houston, TX 77092 Phone: 713-476-9400 Fax: 713-476-9477 | |
Texas Medical Center Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Fannin St, Suite 2040, Houston, TX 77030 Phone: 713-795-0608 | |
Your Houston Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2077 S Gessner Rd, Suite 125, Houston, TX 77063 Phone: 713-789-1200 Fax: 713-789-1219 | |