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8388 W. Sam Houston Pkwy 188 Houston TX 77072 | |
| (281) 568-5124 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8388 W. Sam Houston Pkwy, Houston, Texas |
| Authorized Official Name and Position | Thuc M La (PRESIDENT) |
| Authorized Official Contact | 2815685124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8388 W. Sam Houston Pkwy 188 Houston TX 77072 Ph: (281) 568-5124 | 8388 W. Sam Houston Pkwy 188 Houston TX 77072 Ph: (281) 568-5124 |
| NPI Number | 1053512061 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053512061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19080 (Texas) | Primary |
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