| Cassandra Elkins Dds, Pllc | |
|
9543 Huebner Rd San Antonio TX 78240-1510 | |
| (210) 268-0414 | |
| (210) 694-5066 |
| Full Name | Cassandra Elkins Dds, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9543 Huebner Rd, San Antonio, Texas |
| Authorized Official Name and Position | Cassandra J Elkins (DENTIST) |
| Authorized Official Contact | 2102680414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Elkins Dds, Pllc 18330 Gran Mesa San Antonio TX 78259-2436 Ph: (210) 289-8621 | Cassandra Elkins Dds, Pllc 9543 Huebner Rd San Antonio TX 78240-1510 Ph: (210) 268-0414 |
| NPI Number | 1104394816 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104394816 | NPI | - | NPPES |
| 368080302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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