| Maxillofacial Surgery Services Of Central Texas, Pllc | |
|
10801 N Mopac Expy Bldg 2 Suite 130 Austin TX 78759-5459 | |
| (512) 372-6230 | |
| (512) 372-6233 |
| Full Name | Maxillofacial Surgery Services Of Central Texas, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10801 N Mopac Expy, Austin, Texas |
| Authorized Official Name and Position | Juan F Gonzalez (OWNER / PRINCIPAL MEMBER) |
| Authorized Official Contact | 2103805576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Surgery Services Of Central Texas, Pllc 10801 N Mopac Expy Bldg 2 Suite 130 Austin TX 78759-5459 Ph: (512) 372-6230 | Maxillofacial Surgery Services Of Central Texas, Pllc 10801 N Mopac Expy Bldg 2 Suite 130 Austin TX 78759-5459 Ph: (512) 372-6230 |
| NPI Number | 1437431442 |
|---|---|
| Provider Enumeration Date | 09/15/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437431442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 22953 (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 | |