| Central Tx Oral & Maxillofacial Surgery | |
|
2030 Heights Dr Ste 3 Harker Heights TX 76548-2185 | |
| (254) 699-9500 | |
| (254) 699-2796 |
| Full Name | Central Tx Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2030 Heights Dr Ste 3, Harker Heights, Texas |
| Authorized Official Name and Position | Lavelle Ford (PRESIDENT/OWNER) |
| Authorized Official Contact | 2546999500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Tx Oral & Maxillofacial Surgery 2030 Heights Dr Ste 3 Harker Heights TX 76548-2185 Ph: (254) 699-9500 | Central Tx Oral & Maxillofacial Surgery 2030 Heights Dr Ste 3 Harker Heights TX 76548-2185 Ph: (254) 699-9500 |
| NPI Number | 1730369299 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 06/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730369299 | NPI | - | NPPES |
| 110929003 | Medicaid | TX | |
| 110929001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 17564 (Texas) | Primary |
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