| |
6800 West Loop S Suite 550 Bellaire TX 77401-4528 | |
(713) 795-5841 | |
(713) 795-5596 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 6800 West Loop S, Bellaire, Texas |
Authorized Official Name and Position | Julie C Stirneman (BUSINESS MANAGER) |
Authorized Official Contact | 7137955841 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6800 West Loop S Suite 550 Bellaire TX 77401-4528 Ph: (713) 795-5841 | 6800 West Loop S Suite 550 Bellaire TX 77401-4528 Ph: (713) 795-5841 |
NPI Number | 1386975977 |
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Provider Enumeration Date | 01/20/2010 |
Last Update Date | 01/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386975977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22813 (Texas) | Primary |
1223G0001X | Dentist - General Practice | 6179 (Texas) | Secondary |
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