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5901 Bellaire Blvd Ste 105 Houston TX 77081-5515 | |
| (713) 728-6030 | |
| (713) 728-6034 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5901 Bellaire Blvd Ste 105, Houston, Texas |
| Authorized Official Name and Position | Carlos F Navarro (PRESIDENT) |
| Authorized Official Contact | 2145263363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4514 Cole Ave Ste 910 Dallas TX 75205 Ph: (214) 526-3363 | 5901 Bellaire Blvd Ste 105 Houston TX 77081-5515 Ph: (713) 728-6030 |
| NPI Number | 1689869794 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689869794 | NPI | - | NPPES |
| 188086601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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