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11612 Fm 2244 Building 2, Suite 155 Austin TX 78738-5409 | |
| (512) 263-7896 | |
| (512) 263-8005 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11612 Fm 2244, Austin, Texas |
| Authorized Official Name and Position | Holly M Murphy (DENTIST/OWNER) |
| Authorized Official Contact | 5122637896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11612 Fm 2244 Building 2, Suite 155 Austin TX 78738-5409 Ph: (512) 263-7896 | 11612 Fm 2244 Building 2, Suite 155 Austin TX 78738-5409 Ph: (512) 263-7896 |
| NPI Number | 1003111295 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 01/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003111295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22902 (Texas) | 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 | |