| New Image Orthodontics | |
|
11625 W. Broadway Blvd 185 Pearland TX 77584 | |
| (214) 455-8801 | |
| Not Available |
| Full Name | New Image Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11625 W. Broadway Blvd, Pearland, Texas |
| Authorized Official Name and Position | Craig Stuart Hicks (OWNER) |
| Authorized Official Contact | 2144558801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Image Orthodontics 11625 W. Broadway Blvd 185 Pearland TX 77584 Ph: (214) 455-8801 | New Image Orthodontics 11625 W. Broadway Blvd 185 Pearland TX 77584 Ph: (214) 455-8801 |
| NPI Number | 1972089837 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972089837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16426 (Texas) | Primary |
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