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4126 Southwest Fwy Suite #1610 Houston TX 77027-7310 | |
| (713) 777-6453 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4126 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Willis J Pumphrey (CEO) |
| Authorized Official Contact | 7137776453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4126 Southwest Fwy Suite #1610 Houston TX 77027-7310 Ph: (713) 777-6453 | 4126 Southwest Fwy Suite #1610 Houston TX 77027-7310 Ph: (713) 777-6453 |
| NPI Number | 1548315591 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548315591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13017 (Texas) | Primary |
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