| Brook Hollow Family Dentistry | |
|
15068 San Pedro Ave San Antonio TX 78232-3714 | |
| (210) 494-7681 | |
| Not Available |
| Full Name | Brook Hollow Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 15068 San Pedro Ave, San Antonio, Texas |
| Authorized Official Name and Position | Virendrasinh Chauhan (DENTIST) |
| Authorized Official Contact | 2104947681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Hollow Family Dentistry 15068 San Pedro Ave San Antonio TX 78232-3714 Ph: (210) 494-7681 | Brook Hollow Family Dentistry 15068 San Pedro Ave San Antonio TX 78232-3714 Ph: (210) 494-7681 |
| NPI Number | 1639610538 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 5698102655 |
|---|---|
| Medicare Enrollment ID | O20200304000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639610538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29133 (Texas) | Primary |
| Provider Name | Virendrasinh S Chauhan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548609191 PECOS PAC ID: 6204263221 Enrollment ID: I20200303001641 |
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