|
| |
|
23607 Kelly Joe Smith Road Suite D Porter TX 77365-8405 | |
| (832) 760-8630 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 23607 Kelly Joe Smith Road, Porter, Texas |
| Authorized Official Name and Position | Mustafa Qmaruddin Yamani (OWNER) |
| Authorized Official Contact | 8327608630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10990 West Rd Apartment Number 601 Houston TX 77064-8812 Ph: (832) 760-8630 | 23607 Kelly Joe Smith Road Suite D Porter TX 77365-8405 Ph: (832) 760-8630 |
| NPI Number | 1992045371 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992045371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22455 (Texas) | Primary |
Samer A Faraj Dds Ms Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23762 Us 59 Ste A, Porter, TX 77365 Phone: 859-304-2520 | |
Gilbert C. Price Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24141 Highway 59 Ste E, Porter, TX 77365 Phone: 281-354-4241 Fax: 281-354-9379 | |
Tnn Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23896 Tx-494 Loop, Porter, TX 77365 Phone: 408-616-9175 | |