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10830 Bellaire Blvd. Houston TX 77072 | |
| (281) 564-6200 | |
| (281) 564-4077 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10830 Bellaire Blvd., Houston, Texas |
| Authorized Official Name and Position | Nancy Ann Mai (PRESIDENT) |
| Authorized Official Contact | 2815646200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13194 Bellaire Blvd. Houston TX 77072 Ph: (281) 530-5050 | 10830 Bellaire Blvd. Houston TX 77072 Ph: (281) 564-6200 |
| NPI Number | 1033233051 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033233051 | NPI | - | NPPES |
| 166240501 | Medicaid | TX | |
| 166242101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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