| Fitzgerald Family Dental Practice | |
|
18700 W Lake Houston Pkwy Ste A107 Humble TX 77346-3350 | |
| (281) 852-2150 | |
| (281) 852-0356 |
| Full Name | Fitzgerald Family Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18700 W Lake Houston Pkwy Ste A107, Humble, Texas |
| Authorized Official Name and Position | Sean E. Fitzgerald (OWNER) |
| Authorized Official Contact | 2818522150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzgerald Family Dental Practice 18700 W Lake Houston Pkwy Ste A107 Humble TX 77346-3350 Ph: (281) 852-2150 | Fitzgerald Family Dental Practice 18700 W Lake Houston Pkwy Ste A107 Humble TX 77346-3350 Ph: (281) 852-2150 |
| NPI Number | 1063649317 |
|---|---|
| Provider Enumeration Date | 06/14/2009 |
| Last Update Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063649317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24542 (Texas) | Primary |
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