| Obsidian Management Group Llc | |
|
3117 College Park Dr Ste 150 The Woodlands TX 77384-4192 | |
| (936) 231-8568 | |
| (936) 447-9738 |
| Full Name | Obsidian Management Group Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3117 College Park Dr Ste 150, The Woodlands, Texas |
| Authorized Official Name and Position | Becky Berrill (OFFICE MANAGER) |
| Authorized Official Contact | 9362318568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Management Group Llc 3117 College Park Dr Ste 150 The Woodlands TX 77384-4192 Ph: (936) 231-8568 | Obsidian Management Group Llc 3117 College Park Dr Ste 150 The Woodlands TX 77384-4192 Ph: (936) 231-8568 |
| NPI Number | 1477216620 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477216620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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