| |
2200 Spears Rd Ste 220 Houston TX 77067-1208 | |
(281) 866-0822 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 2200 Spears Rd, Houston, Texas |
Authorized Official Name and Position | Huy Nguyen (OWNER) |
Authorized Official Contact | 2818660822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2200 Spears Rd Ste 220 Houston TX 77067-1317 Ph: (281) 866-0822 | 2200 Spears Rd Ste 220 Houston TX 77067-1208 Ph: (281) 866-0822 |
NPI Number | 1871752899 |
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Provider Enumeration Date | 06/04/2008 |
Last Update Date | 07/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871752899 | NPI | - | NPPES |
1962755 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0022837 (Texas) | Primary |
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