| |
5000 Schertz Pkwy Ste 301 Schertz TX 78154-1457 | |
(210) 659-8000 | |
(210) 659-9235 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 5000 Schertz Pkwy Ste 301, Schertz, Texas |
Authorized Official Name and Position | Tracey Hay (PRACTICE COORDINATOR) |
Authorized Official Contact | 2106546882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5000 Schertz Pkwy Ste 301 Schertz TX 78154-1457 Ph: (210) 659-8000 | 5000 Schertz Pkwy Ste 301 Schertz TX 78154-1457 Ph: (210) 659-8000 |
NPI Number | 1013563972 |
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Provider Enumeration Date | 08/15/2019 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013563972 | NPI | - | NPPES |
00K78 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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