| |
7333 North Fwy Suite 300 Houston TX 77076-1300 | |
(713) 691-4300 | |
(713) 691-4461 |
Full Name | |
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Speciality | Dentist |
Location | 7333 North Fwy, Houston, Texas |
Authorized Official Name and Position | Blanca Urbina (OFFICE MANGER) |
Authorized Official Contact | 7136914300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7333 North Fwy Suite 300 Houston TX 77076-1300 Ph: (713) 691-4300 | 7333 North Fwy Suite 300 Houston TX 77076-1300 Ph: (713) 691-4300 |
NPI Number | 1336366533 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336366533 | NPI | - | NPPES |
G60155-1 | Other | TX | CHIPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22078 (Texas) | Primary |
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