| |
8522 N Lamar Blvd Austin TX 78753-5543 | |
(512) 832-6225 | |
(512) 832-8454 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 8522 N Lamar Blvd, Austin, Texas |
Authorized Official Name and Position | Michael Shayne Istre (OWNER) |
Authorized Official Contact | 5128326225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4825 Concord Rd Beaumont TX 77703-1811 Ph: () - | 8522 N Lamar Blvd Austin TX 78753-5543 Ph: (512) 832-6225 |
NPI Number | 1184943086 |
---|---|
Provider Enumeration Date | 05/18/2010 |
Last Update Date | 05/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184943086 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | 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 | |