| Austin Perio Health | |
|
4310 Medical Pkwy Ste 201 Austin TX 78756-3331 | |
| (512) 454-6861 | |
| (512) 454-4350 |
| Full Name | Austin Perio Health |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4310 Medical Pkwy Ste 201, Austin, Texas |
| Authorized Official Name and Position | Joshua Roland Chapa (PRESIDENT) |
| Authorized Official Contact | 3615497140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Perio Health 8200 N Mopac Expy Ste 120 Austin TX 78759-8849 Ph: (512) 346-2490 | Austin Perio Health 4310 Medical Pkwy Ste 201 Austin TX 78756-3331 Ph: (512) 454-6861 |
| NPI Number | 1558774554 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 07/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558774554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 28209 (Texas) | Primary |
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