| Magruder | |
|
3314 Avenue O Galveston TX 77550-6712 | |
| (409) 762-4522 | |
| Not Available |
| Full Name | Magruder |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3314 Avenue O, Galveston, Texas |
| Authorized Official Name and Position | Jeremy Magruder (OWNER) |
| Authorized Official Contact | 4097624522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magruder 3314 Avenue O Galveston TX 77550-6712 Ph: () - | Magruder 3314 Avenue O Galveston TX 77550-6712 Ph: (409) 762-4522 |
| NPI Number | 1164801544 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164801544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25665 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 11659 (Texas) | Secondary |
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