| Central Texas Oral Surgery Assc. | |
|
3200 Red River #400 Austin TX 78705 | |
| (512) 320-1640 | |
| (512) 320-1643 |
| Full Name | Central Texas Oral Surgery Assc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3200 Red River, Austin, Texas |
| Authorized Official Name and Position | Franklin Samuel Bonasso (ORAL SURGEON) |
| Authorized Official Contact | 5123201640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Oral Surgery Assc. 3200 Red River #400 Austin TX 78705 Ph: (512) 320-1640 | Central Texas Oral Surgery Assc. 3200 Red River #400 Austin TX 78705 Ph: (512) 320-1640 |
| NPI Number | 1114018124 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114018124 | NPI | - | NPPES |
| 0015705 | Other | TX | ASSURANT |
| D18515 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18515 (Texas) | Primary |
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