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424 Hahlo St Houston TX 77020-3022 | |
| (713) 674-3326 | |
| (713) 674-5100 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 424 Hahlo St, Houston, Texas |
| Authorized Official Name and Position | Daniel Moises Montez (CEO) |
| Authorized Official Contact | 7133435450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
424 Hahlo St Houston TX 77020-3022 Ph: (713) 674-3326 | 424 Hahlo St Houston TX 77020-3022 Ph: (713) 674-3326 |
| NPI Number | 1528246360 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528246360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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