|
| |
|
11101 Burnet Rd Suite A-135 Austin TX 78758 | |
| (512) 837-0936 | |
| (512) 837-4157 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11101 Burnet Rd, Austin, Texas |
| Authorized Official Name and Position | Zeyad B Mughrabi (DENTIST/PRESIDENT) |
| Authorized Official Contact | 5128370936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11101 Burnet Rd Suite A-135 Austin TX 78758 Ph: (512) 837-0936 | 11101 Burnet Rd Suite A-135 Austin TX 78758 Ph: (512) 837-0936 |
| NPI Number | 1740603414 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 01/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740603414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25667 (Texas) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |