| Identist, Pllc | |
|
825 W Dove Ave Mcallen TX 78504-3508 | |
| (956) 855-5000 | |
| Not Available |
| Full Name | Identist, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 825 W Dove Ave, Mcallen, Texas |
| Authorized Official Name and Position | Steven Lee (MANAGER) |
| Authorized Official Contact | 9563690080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Identist, Pllc 7600 N Cynthia St Mcallen TX 78504-1618 Ph: (956) 369-0080 | Identist, Pllc 825 W Dove Ave Mcallen TX 78504-3508 Ph: (956) 855-5000 |
| NPI Number | 1679358345 |
|---|---|
| Provider Enumeration Date | 08/30/2023 |
| Last Update Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679358345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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