| No | |
|
1202 Chelshurst Way Spring TX 77379-3247 | |
| (281) 430-4845 | |
| (281) 430-4844 |
| Full Name | No |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1202 Chelshurst Way, Spring, Texas |
| Authorized Official Name and Position | Robert Benson Freele (OWNER) |
| Authorized Official Contact | 2814304845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| No 1202 Chelshurst Way Spring TX 77379-3247 Ph: (281) 430-4845 | No 1202 Chelshurst Way Spring TX 77379-3247 Ph: (281) 430-4845 |
| NPI Number | 1538614185 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538614185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9587 (Texas) | Primary |
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