| Central Texas Pediatric Dentistry, Pa | |
|
1201 Barbara Jordan Blvd Suite 1430 Austin TX 78723-3083 | |
| (512) 474-7575 | |
| (512) 474-7583 |
| Full Name | Central Texas Pediatric Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1201 Barbara Jordan Blvd, Austin, Texas |
| Authorized Official Name and Position | Steven J Hernandez (OWNER) |
| Authorized Official Contact | 8306937044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Texas Pediatric Dentistry, Pa 608 Gateway Central Suite 201 Marble Falls TX 78654-6354 Ph: (830) 693-7044 | Central Texas Pediatric Dentistry, Pa 1201 Barbara Jordan Blvd Suite 1430 Austin TX 78723-3083 Ph: (512) 474-7575 |
| NPI Number | 1982927661 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982927661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 20081 (Texas) | Primary |
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