| Dentistry At Artysan Lane, Pllc | |
|
2240 Texas Pkwy Suite 400 Missouri City TX 77489-4208 | |
| (713) 806-1818 | |
| Not Available |
| Full Name | Dentistry At Artysan Lane, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2240 Texas Pkwy, Missouri City, Texas |
| Authorized Official Name and Position | Rachel Foreman (OWNER) |
| Authorized Official Contact | 7138061818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry At Artysan Lane, Pllc 2414 Charter Oaks Ct Pearland TX 77584-4842 Ph: (713) 806-1818 | Dentistry At Artysan Lane, Pllc 2240 Texas Pkwy Suite 400 Missouri City TX 77489-4208 Ph: (713) 806-1818 |
| NPI Number | 1316304306 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 01/21/2016 |
| Medicare PECOS PAC ID | 1557665882 |
|---|---|
| Medicare Enrollment ID | O20160208001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316304306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Rachel Foreman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609127117 PECOS PAC ID: 2466756796 Enrollment ID: I20160208001219 |
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