Riverside Practice, Llc | |
2410 E Riverside Dr Ste H12 Austin TX 78741-3054 | |
(512) 442-1224 | |
Not Available |
Full Name | Riverside Practice, Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2410 E Riverside Dr Ste H12, Austin, Texas |
Authorized Official Name and Position | Asha Patel (PRESIDENT) |
Authorized Official Contact | 2258029534 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Riverside Practice, Llc 12613 Scofield Farms Dr Austin TX 78727-4542 Ph: (225) 802-9534 | Riverside Practice, Llc 2410 E Riverside Dr Ste H12 Austin TX 78741-3054 Ph: (512) 442-1224 |
NPI Number | 1679062020 |
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Provider Enumeration Date | 05/01/2018 |
Last Update Date | 03/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679062020 | NPI | - | NPPES |
195206120 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Jared Poplin D.m.d., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6850 Austin Center Blvd Ste 220, Austin, TX 78731 Phone: 785-691-6171 | |
Ac Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13616 N Highway 183, Austin, TX 78750 Phone: 512-682-5437 | |