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779 Normandy St Ste 113 Houston TX 77015-3441 | |
| (713) 453-3733 | |
| (713) 453-3446 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 779 Normandy St Ste 113, Houston, Texas |
| Authorized Official Name and Position | Fh Farzam (DENTIST) |
| Authorized Official Contact | 7134533733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
779 Normandy St Ste 113 Houston TX 77015 Ph: (713) 453-3733 | 779 Normandy St Ste 113 Houston TX 77015-3441 Ph: (713) 453-3733 |
| NPI Number | 1740400126 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740400126 | NPI | - | NPPES |
| G600671 | Other | TX | CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19027 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 18688 (Texas) | Primary |
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