|
| |
|
12805 Cullen Blvd Ste E Houston TX 77047-3759 | |
| (713) 264-7333 | |
| (713) 264-7336 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 12805 Cullen Blvd, Houston, Texas |
| Authorized Official Name and Position | Emily Lee (DENTIST) |
| Authorized Official Contact | 7132647333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10260 Westheimer Rd Ste 390 Houston TX 77042-3110 Ph: (713) 977-5300 | 12805 Cullen Blvd Ste E Houston TX 77047-3759 Ph: (713) 264-7333 |
| NPI Number | 1124334586 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124334586 | NPI | - | NPPES |
| 1999716-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Allbrite Dental Associates,l.p. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5372 W 34th St, Houston, TX 77092 Phone: 713-476-9400 Fax: 713-476-9477 | |
Texas Medical Center Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6400 Fannin St, Suite 2040, Houston, TX 77030 Phone: 713-795-0608 | |
Your Houston Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2077 S Gessner Rd, Suite 125, Houston, TX 77063 Phone: 713-789-1200 Fax: 713-789-1219 | |