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19961 Katy Fwy Houston TX 77094-1019 | |
(713) 490-8880 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 19961 Katy Fwy, Houston, Texas |
Authorized Official Name and Position | Raquel Sagastizado (CREDENTIALING COORDINATIOR) |
Authorized Official Contact | 7134908880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2536 Amherst St Ste A Houston TX 77005-3207 Ph: (713) 490-8880 | 19961 Katy Fwy Houston TX 77094-1019 Ph: (713) 490-8880 |
NPI Number | 1568997021 |
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Provider Enumeration Date | 04/21/2017 |
Last Update Date | 04/21/2017 |
Identifier | Type | State | Issuer |
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1568997021 | NPI | - | NPPES |
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