| Red River Family Dental, Pllc | |
|
1320 N Grand Ave Unit B Gainesville TX 76240-2813 | |
| (702) 376-7374 | |
| Not Available |
| Full Name | Red River Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1320 N Grand Ave, Gainesville, Texas |
| Authorized Official Name and Position | Kevin Dale Stewart (OWNER) |
| Authorized Official Contact | 7023767374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Family Dental, Pllc 1102 Aspen Rd Gainesville TX 76240-2947 Ph: (702) 376-7374 | Red River Family Dental, Pllc 1320 N Grand Ave Unit B Gainesville TX 76240-2813 Ph: (702) 376-7374 |
| NPI Number | 1063853281 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063853281 | NPI | - | NPPES |
| 1295049781 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24935 (Texas) | Primary |
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