| Ruben Torres Dental, Pllc | |
|
2155 Ruben M. Torres Sr Boulevard Unit 4 Brownsville TX 78526 | |
| (956) 982-4495 | |
| Not Available |
| Full Name | Ruben Torres Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2155 Ruben M. Torres Sr Boulevard, Brownsville, Texas |
| Authorized Official Name and Position | Raffy Kouyoumdjian (OWNER) |
| Authorized Official Contact | 8175298151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben Torres Dental, Pllc 100 E 15th St Suite 420 Fort Worth TX 76102-6550 Ph: (817) 529-8151 | Ruben Torres Dental, Pllc 2155 Ruben M. Torres Sr Boulevard Unit 4 Brownsville TX 78526 Ph: (956) 982-4495 |
| NPI Number | 1184076317 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184076317 | NPI | - | NPPES |
| 182419511 | Medicaid | TX | |
| 182419515 | Medicaid | TX | |
| 182419516 | Medicaid | TX | |
| 182419517 | Medicaid | TX | |
| 182419510 | Medicaid | TX | |
| 182419514 | Medicaid | TX | |
| 182419513 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 23066 (Texas) | Primary |
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