Full Name | |
---|---|
Speciality | Dentist |
Location | 808 6th St, Hempstead, Texas |
Authorized Official Name and Position | Andrew Tran (PRESIDENT) |
Authorized Official Contact | 9798263306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
808 6th St Hempstead TX 77445-5402 Ph: (979) 826-3306 | 808 6th St Hempstead TX 77445-5402 Ph: (979) 826-3306 |
NPI Number | 1083010649 |
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Provider Enumeration Date | 11/10/2014 |
Last Update Date | 11/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083010649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |