| Houston Tmj Facial Pain And Sleep | |
|
2400 Augusta Dr Ste 276 Houston TX 77057-4922 | |
| (346) 487-8216 | |
| (346) 487-8216 |
| Full Name | Houston Tmj Facial Pain And Sleep |
|---|---|
| Speciality | Dentist |
| Location | 2400 Augusta Dr Ste 276, Houston, Texas |
| Authorized Official Name and Position | Andres Martinez Porras (DIRECTOR) |
| Authorized Official Contact | 3464878216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Tmj Facial Pain And Sleep 7500 San Felipe St Ste 325 Houston TX 77063-1700 Ph: (346) 487-8216 | Houston Tmj Facial Pain And Sleep 2400 Augusta Dr Ste 276 Houston TX 77057-4922 Ph: (346) 487-8216 |
| NPI Number | 1770260283 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 8224490842 |
|---|---|
| Medicare Enrollment ID | O20230815000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770260283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| Provider Name | Andres Martinez Porras |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841940186 PECOS PAC ID: 0042672669 Enrollment ID: I20230815000613 |
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