| |
165 Hargraves Dr Ste M200 Austin TX 78737-4811 | |
(512) 758-8655 | |
(512) 852-5936 |
Full Name | |
---|---|
Speciality | Dentist |
Location | 165 Hargraves Dr Ste M200, Austin, Texas |
Authorized Official Name and Position | Sulman Ahmed (OWNER) |
Authorized Official Contact | 9723318079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | 165 Hargraves Dr Ste M200 Austin TX 78737-4811 Ph: (512) 758-8655 |
NPI Number | 1386153963 |
---|---|
Provider Enumeration Date | 09/26/2017 |
Last Update Date | 05/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386153963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |