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6010 Washington Ave Suite D Houston TX 77007-5390 | |
| (713) 864-3800 | |
| (713) 864-3882 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6010 Washington Ave, Houston, Texas |
| Authorized Official Name and Position | Nishano Thomas (OWNER) |
| Authorized Official Contact | 7138643800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6010 Washington Ave Suite D Houston TX 77007-5390 Ph: (713) 864-3800 | 6010 Washington Ave Suite D Houston TX 77007-5390 Ph: (713) 864-3800 |
| NPI Number | 1861860652 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861860652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21579 (Texas) | Primary |
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