| Forum 7to7 Pllc | |
|
14975 Ih 35 N Ste.105 Selma TX 78154-3320 | |
| (210) 495-2000 | |
| (210) 495-2001 |
| Full Name | Forum 7to7 Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14975 Ih 35 N, Selma, Texas |
| Authorized Official Name and Position | Andrea Carolina Villarreal (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2104952000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forum 7to7 Pllc Po Box 461649 San Antonio TX 78246-1649 Ph: (210) 495-2000 | Forum 7to7 Pllc 14975 Ih 35 N Ste.105 Selma TX 78154-3320 Ph: (210) 495-2000 |
| NPI Number | 1871261248 |
|---|---|
| Provider Enumeration Date | 09/01/2021 |
| Last Update Date | 09/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871261248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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