| Orthodontix Ltd | |
|
5711 Mcpherson Rd Laredo TX 78041-6837 | |
| (361) 853-1900 | |
| (361) 853-1904 |
| Full Name | Orthodontix Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5711 Mcpherson Rd, Laredo, Texas |
| Authorized Official Name and Position | John G Vondrak (PRESIDENT) |
| Authorized Official Contact | 3618531900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontix Ltd 5711 Mcpherson Rd Laredo TX 78041-6837 Ph: (361) 853-1900 | Orthodontix Ltd 5711 Mcpherson Rd Laredo TX 78041-6837 Ph: (361) 853-1900 |
| NPI Number | 1376794537 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376794537 | NPI | - | NPPES |
| 009297504 | Medicaid | TX | |
| 730151713 | Medicaid | TX | |
| 009297503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 13047 (Texas) | Primary |
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