| Orthogenesis International Centre South, Pa | |
|
6410 Mcpherson Rd Suite 2 Laredo TX 78041-6191 | |
| (956) 717-9877 | |
| (956) 717-9881 |
| Full Name | Orthogenesis International Centre South, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6410 Mcpherson Rd, Laredo, Texas |
| Authorized Official Name and Position | Nelia Patricia Garcia-morales (PRESIDENT) |
| Authorized Official Contact | 9567179877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthogenesis International Centre South, Pa 6410 Mcpherson Rd Suite 2 Laredo TX 78041-6191 Ph: (956) 717-9877 | Orthogenesis International Centre South, Pa 6410 Mcpherson Rd Suite 2 Laredo TX 78041-6191 Ph: (956) 717-9877 |
| NPI Number | 1609093939 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609093939 | NPI | - | NPPES |
| 160748301 | Medicaid | TX | |
| 163924701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20718 (Texas) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20718 (Texas) | Primary |
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