| Gulf Coast Oral & Maxillofacial Surgery | |
|
2501 Palmer Hwy Ste 105 Texas City TX 77590-7000 | |
| (409) 948-9444 | |
| (409) 948-9407 |
| Full Name | Gulf Coast Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2501 Palmer Hwy Ste 105, Texas City, Texas |
| Authorized Official Name and Position | Charles Keener Scruggs (DOCTOR) |
| Authorized Official Contact | 4099489444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Oral & Maxillofacial Surgery 2501 Palmer Hwy Ste 105 Texas City TX 77590-7000 Ph: (409) 948-9444 | Gulf Coast Oral & Maxillofacial Surgery 2501 Palmer Hwy Ste 105 Texas City TX 77590-7000 Ph: (409) 948-9444 |
| NPI Number | 1568791861 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 12/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568791861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13026 (Texas) | Primary |
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